Provider Demographics
NPI:1659828424
Name:SNEAKZ LLC
Entity Type:Organization
Organization Name:SNEAKZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-529-3086
Mailing Address - Street 1:2895 JUPITER PARK DR STE 500
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6049
Mailing Address - Country:US
Mailing Address - Phone:561-529-3086
Mailing Address - Fax:
Practice Address - Street 1:2875 JUPITER PARK DR
Practice Address - Street 2:SUITE 1600
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6058
Practice Address - Country:US
Practice Address - Phone:561-529-3086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335G00000XSuppliersMedical Foods Supplier