Provider Demographics
NPI:1659803401
Name:BUSINESS ENTERPRISES OF FLORIDA LLC
Entity Type:Organization
Organization Name:BUSINESS ENTERPRISES OF FLORIDA LLC
Other - Org Name:FIGURE FAIR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DSOUZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-687-4374
Mailing Address - Street 1:PO BOX 47683
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33743-7683
Mailing Address - Country:US
Mailing Address - Phone:727-687-4374
Mailing Address - Fax:727-344-3677
Practice Address - Street 1:6798 CROSSWINDS DR N
Practice Address - Street 2:SUITE C101
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-8603
Practice Address - Country:US
Practice Address - Phone:727-344-1830
Practice Address - Fax:727-343-6848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier