Provider Demographics
NPI:1023316957
Name:KREW ENTERPRISES INC.
Entity type:Organization
Organization Name:KREW ENTERPRISES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIMERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-589-7752
Mailing Address - Street 1:3350 ASPEN FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-4252
Mailing Address - Country:US
Mailing Address - Phone:904-589-7752
Mailing Address - Fax:904-406-0178
Practice Address - Street 1:3350 ASPEN FOREST DR
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-4252
Practice Address - Country:US
Practice Address - Phone:904-589-7752
Practice Address - Fax:904-406-0178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171WV0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Single Specialty