Provider Demographics
NPI:1518341932
Name:FLORIDA SUN TERMITE & PEST CONTROL, INC
Entity Type:Organization
Organization Name:FLORIDA SUN TERMITE & PEST CONTROL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:MISSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-926-3062
Mailing Address - Street 1:2747 CRAWFORDVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32327-2158
Mailing Address - Country:US
Mailing Address - Phone:850-926-3062
Mailing Address - Fax:850-926-1914
Practice Address - Street 1:2747 CRAWFORDVILLE HWY
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-2158
Practice Address - Country:US
Practice Address - Phone:850-926-3062
Practice Address - Fax:850-926-1914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLJB4895302R00000X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
No302R00000XManaged Care OrganizationsHealth Maintenance Organization