Provider Demographics
NPI:1689035487
Name:KAZOUL 125 GENERAL CARPENTRY INC
Entity Type:Organization
Organization Name:KAZOUL 125 GENERAL CARPENTRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTOMENE
Authorized Official - Middle Name:
Authorized Official - Last Name:DORCELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-487-4856
Mailing Address - Street 1:685 NE 126TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-4820
Mailing Address - Country:US
Mailing Address - Phone:786-487-8756
Mailing Address - Fax:
Practice Address - Street 1:110 NE 152ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33162-4249
Practice Address - Country:US
Practice Address - Phone:787-487-8756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty