Provider Demographics
NPI:1619405560
Name:III ISAIAS INSURANCE INC
Entity Type:Organization
Organization Name:III ISAIAS INSURANCE INC
Other - Org Name:RENATO
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RENATO
Authorized Official - Middle Name:
Authorized Official - Last Name:ISAIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-674-5740
Mailing Address - Street 1:10 FAIRWAY DR STE 219
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-1802
Mailing Address - Country:US
Mailing Address - Phone:561-674-5740
Mailing Address - Fax:
Practice Address - Street 1:10 FAIRWAY DR STE 219
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-1802
Practice Address - Country:US
Practice Address - Phone:561-674-5740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL423450OtherMEDICAL EQUIPMENT AND SUPPLIES MERCHANT