Provider Demographics
NPI:1982830709
Name:DATA NETWORK CONSULTANTS LLC
Entity Type:Organization
Organization Name:DATA NETWORK CONSULTANTS LLC
Other - Org Name:VITALAIDE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-299-7421
Mailing Address - Street 1:3118 GULF TO BAY BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-4553
Mailing Address - Country:US
Mailing Address - Phone:813-299-7421
Mailing Address - Fax:813-333-7403
Practice Address - Street 1:3118 GULF TO BAY BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-4553
Practice Address - Country:US
Practice Address - Phone:813-299-7421
Practice Address - Fax:813-333-7403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333300000XSuppliersEmergency Response System Companies
No335E00000XSuppliersProsthetic/Orthotic Supplier