Provider Demographics
NPI:1538483789
Name:REGAL FURNITURE INC
Entity Type:Organization
Organization Name:REGAL FURNITURE INC
Other - Org Name:ORANGE PARK FURNITURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:J
Authorized Official - Last Name:NESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-264-5464
Mailing Address - Street 1:1329 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-4127
Mailing Address - Country:US
Mailing Address - Phone:904-264-5464
Mailing Address - Fax:904-269-1750
Practice Address - Street 1:1329 PARK AVE
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4127
Practice Address - Country:US
Practice Address - Phone:904-264-5464
Practice Address - Fax:904-269-1750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies