Provider Demographics
NPI:1689441040
Name:FY VENE ENTERPRISES LLC
Entity Type:Organization
Organization Name:FY VENE ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLIVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-469-1815
Mailing Address - Street 1:6035 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-3515
Mailing Address - Country:US
Mailing Address - Phone:813-469-1815
Mailing Address - Fax:
Practice Address - Street 1:6035 9TH ST
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-3515
Practice Address - Country:US
Practice Address - Phone:813-469-1815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)