Provider Demographics
NPI:1942922463
Name:THE WORLDS ULTIMATE ENTERPRISES LLC
Entity Type:Organization
Organization Name:THE WORLDS ULTIMATE ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:352-339-4371
Mailing Address - Street 1:2010 NE 182ND PL UNIT 134
Mailing Address - Street 2:
Mailing Address - City:CITRA
Mailing Address - State:FL
Mailing Address - Zip Code:32113-2324
Mailing Address - Country:US
Mailing Address - Phone:855-449-6753
Mailing Address - Fax:904-212-0802
Practice Address - Street 1:2010 NE 182ND PL UNIT 134
Practice Address - Street 2:
Practice Address - City:CITRA
Practice Address - State:FL
Practice Address - Zip Code:32113-2324
Practice Address - Country:US
Practice Address - Phone:855-449-6753
Practice Address - Fax:904-212-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory