Provider Demographics
NPI:1659607885
Name:PROXIMITI TECHNOLOGIES, INC.
Entity Type:Organization
Organization Name:PROXIMITI TECHNOLOGIES, INC.
Other - Org Name:SIPSTORM, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-579-1036
Mailing Address - Street 1:5410 MARINER ST
Mailing Address - Street 2:SUITE 175
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3432
Mailing Address - Country:US
Mailing Address - Phone:813-579-1000
Mailing Address - Fax:813-579-1005
Practice Address - Street 1:5410 MARINER ST
Practice Address - Street 2:SUITE 175
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3432
Practice Address - Country:US
Practice Address - Phone:813-579-1000
Practice Address - Fax:813-579-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management