Provider Demographics
NPI:1235627662
Name:FLOLITEL, INC
Entity Type:Organization
Organization Name:FLOLITEL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LISSADE-TELFORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-345-7369
Mailing Address - Street 1:1110 BRICKELL AVE STE 430
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3152
Mailing Address - Country:US
Mailing Address - Phone:305-345-7369
Mailing Address - Fax:305-847-9035
Practice Address - Street 1:1110 BRICKELL AVE STE 430
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3152
Practice Address - Country:US
Practice Address - Phone:305-345-7369
Practice Address - Fax:305-847-9035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management