Provider Demographics
NPI:1265633432
Name:TAORMINA V CORPORATION
Entity Type:Organization
Organization Name:TAORMINA V CORPORATION
Other - Org Name:SILVIA'S CORSET SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:COSOMANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-446-8484
Mailing Address - Street 1:256 GIRALDA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5013
Mailing Address - Country:US
Mailing Address - Phone:305-446-8484
Mailing Address - Fax:305-446-8881
Practice Address - Street 1:256 GIRALDA AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5013
Practice Address - Country:US
Practice Address - Phone:305-446-8484
Practice Address - Fax:305-446-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5943650001Medicare NSC