Provider Demographics
NPI:1821617176
Name:TONY'S BUFFET LLC
Entity Type:Organization
Organization Name:TONY'S BUFFET LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTE
Authorized Official - Middle Name:APARECIDA
Authorized Official - Last Name:ELIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-900-7797
Mailing Address - Street 1:6039 COLLINS AVE APT 426
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2239
Mailing Address - Country:US
Mailing Address - Phone:305-900-7797
Mailing Address - Fax:
Practice Address - Street 1:345 E 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1856
Practice Address - Country:US
Practice Address - Phone:305-900-7797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals