Provider Demographics
NPI:1568891091
Name:B.S.L. CONSTRUCTION., CO
Entity Type:Organization
Organization Name:B.S.L. CONSTRUCTION., CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:SEYMORE
Authorized Official - Last Name:LENOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-480-4331
Mailing Address - Street 1:5693 NW NORTH MACEDO BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-8351
Mailing Address - Country:US
Mailing Address - Phone:772-480-4331
Mailing Address - Fax:
Practice Address - Street 1:5693 NW NORTH MACEDO BLVD
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-8351
Practice Address - Country:US
Practice Address - Phone:772-480-4331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment