Provider Demographics
NPI:1275314742
Name:IMANYCO INC
Entity Type:Organization
Organization Name:IMANYCO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAIDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLOREXIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-619-0425
Mailing Address - Street 1:5769 COCONUT BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8545
Mailing Address - Country:US
Mailing Address - Phone:561-783-6163
Mailing Address - Fax:
Practice Address - Street 1:5769 COCONUT BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8545
Practice Address - Country:US
Practice Address - Phone:561-783-6163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Multi-Specialty
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty