Provider Demographics
NPI:1013614403
Name:ME2 ENTERPRISES LLC
Entity Type:Organization
Organization Name:ME2 ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAVOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-320-6071
Mailing Address - Street 1:4303 WALIS PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-5748
Mailing Address - Country:US
Mailing Address - Phone:561-320-6071
Mailing Address - Fax:
Practice Address - Street 1:4303 WALIS PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-5748
Practice Address - Country:US
Practice Address - Phone:561-320-6071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging
Provider Identifiers
StateIdentifier IDID TypeIssuer
177F00000XOther177F00000X