Provider Demographics
NPI:1245673243
Name:SCOJO ENTERPRISES INC.
Entity type:Organization
Organization Name:SCOJO ENTERPRISES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MODLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-738-7303
Mailing Address - Street 1:PO BOX 2032
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33061-2032
Mailing Address - Country:US
Mailing Address - Phone:954-738-7301
Mailing Address - Fax:
Practice Address - Street 1:2605 E ATLANTIC BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-4948
Practice Address - Country:US
Practice Address - Phone:954-738-7301
Practice Address - Fax:954-738-7302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies