Provider Demographics
NPI:1598447062
Name:BIZZI BODIZ, LLC
Entity Type:Organization
Organization Name:BIZZI BODIZ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:UMEKI
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-660-9161
Mailing Address - Street 1:PO BOX 3881
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33802-3881
Mailing Address - Country:US
Mailing Address - Phone:863-660-9161
Mailing Address - Fax:
Practice Address - Street 1:2012 BASSEDENA CIR W
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-2843
Practice Address - Country:US
Practice Address - Phone:863-660-9161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health