Provider Demographics
NPI:1285815290
Name:RIDE-N-OUR ELEVATOR, INC.
Entity Type:Organization
Organization Name:RIDE-N-OUR ELEVATOR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:PERRONI
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:727-526-3585
Mailing Address - Street 1:6554 44TH ST. NO.
Mailing Address - Street 2:1010
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-5963
Mailing Address - Country:US
Mailing Address - Phone:727-526-3585
Mailing Address - Fax:
Practice Address - Street 1:6554 44TH ST. NO.
Practice Address - Street 2:1010
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-5963
Practice Address - Country:US
Practice Address - Phone:727-526-3585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCC2294332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCC2294OtherFLORIDA STATE LICENSE