Provider Demographics
NPI:1427369040
Name:MEP ENTERPRISES OF DELTONA
Entity Type:Organization
Organization Name:MEP ENTERPRISES OF DELTONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MATTIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-860-7774
Mailing Address - Street 1:753 ALDERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-8979
Mailing Address - Country:US
Mailing Address - Phone:386-860-7774
Mailing Address - Fax:763-322-2548
Practice Address - Street 1:753 ALDERWOOD AVE
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-8979
Practice Address - Country:US
Practice Address - Phone:386-860-7774
Practice Address - Fax:763-322-2548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle