Provider Demographics
NPI:1447766449
Name:LICURA, LLC
Entity Type:Organization
Organization Name:LICURA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:FLORSHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-900-6382
Mailing Address - Street 1:566 MERRICK ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570
Mailing Address - Country:US
Mailing Address - Phone:516-668-8511
Mailing Address - Fax:
Practice Address - Street 1:566 MERRICK ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570
Practice Address - Country:US
Practice Address - Phone:516-668-8511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty