Provider Demographics
NPI:1548755549
Name:CLIMATE CAST CONTROL, INC.
Entity Type:Organization
Organization Name:CLIMATE CAST CONTROL, INC.
Other - Org Name:CAST CLIMATE CONTROL, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEROVANESIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-785-6761
Mailing Address - Street 1:6650 COOLIDGE ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3917
Mailing Address - Country:US
Mailing Address - Phone:305-785-6761
Mailing Address - Fax:
Practice Address - Street 1:6650 COOLIDGE ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-3917
Practice Address - Country:US
Practice Address - Phone:305-785-6761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL208100000XMedicaid