Provider Demographics
NPI:1558798124
Name:PIKE INTERNATIONAL INVESTMENTS,INC.
Entity Type:Organization
Organization Name:PIKE INTERNATIONAL INVESTMENTS,INC.
Other - Org Name:FLORIDA ONE PROVIDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:M
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-353-9825
Mailing Address - Street 1:1962 MAIN ST
Mailing Address - Street 2:SUITE 228
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-9515
Mailing Address - Country:US
Mailing Address - Phone:941-221-9527
Mailing Address - Fax:
Practice Address - Street 1:1962 MAIN ST
Practice Address - Street 2:SUITE 228
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-9515
Practice Address - Country:US
Practice Address - Phone:941-221-9527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN13882261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental