Provider Demographics
NPI:1518313634
Name:NENAS UNITED ONE INSURANCE
Entity Type:Organization
Organization Name:NENAS UNITED ONE INSURANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:I
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-230-8083
Mailing Address - Street 1:7738 GIBSONTON DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONTON
Mailing Address - State:FL
Mailing Address - Zip Code:33534-4319
Mailing Address - Country:US
Mailing Address - Phone:813-230-8083
Mailing Address - Fax:813-649-8323
Practice Address - Street 1:7738 GIBSONTON DR
Practice Address - Street 2:
Practice Address - City:GIBSONTON
Practice Address - State:FL
Practice Address - Zip Code:33534-4319
Practice Address - Country:US
Practice Address - Phone:813-230-8083
Practice Address - Fax:813-649-8323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-07
Last Update Date:2016-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY2-3450OtherINSURANCE
FLYB-9000 YOUNG ADULTSOtherINSURANCE
FLLH-3500.2500OtherINSURANCE
FLFN-1700.3350-250OtherINSURANCE
FLFT-3900.3300OtherINSURANCE
FLDD-1500.4800-350OtherINSURANCE
FLYJ-8780OtherINSURANCE
FLYJ-8800OtherINSURANCE