Provider Demographics
NPI:1477950558
Name:WEST FLORIDA TERMITE AND PEST CONTROL, LLC
Entity Type:Organization
Organization Name:WEST FLORIDA TERMITE AND PEST CONTROL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-286-4793
Mailing Address - Street 1:1510 HUDSON RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-5527
Mailing Address - Country:US
Mailing Address - Phone:941-286-4793
Mailing Address - Fax:
Practice Address - Street 1:1510 HUDSON RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-5527
Practice Address - Country:US
Practice Address - Phone:941-286-4793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLJB203537171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty