Provider Demographics
NPI:1295088722
Name:INTERNATIONAL DOLLAR,INC
Entity type:Organization
Organization Name:INTERNATIONAL DOLLAR,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AS PRES.FOR IDI
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDOU
Authorized Official - Middle Name:M
Authorized Official - Last Name:KHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-359-0820
Mailing Address - Street 1:1016 SW 81ST DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-4902
Mailing Address - Country:US
Mailing Address - Phone:352-359-0820
Mailing Address - Fax:352-505-0319
Practice Address - Street 1:1016 SW 81ST DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-4902
Practice Address - Country:US
Practice Address - Phone:352-359-0820
Practice Address - Fax:352-505-0319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228410251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health