Provider Demographics
NPI:1477279222
Name:SAVASTANO ENTERPRISES INC
Entity type:Organization
Organization Name:SAVASTANO ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMINICK
Authorized Official - Middle Name:ROCCO
Authorized Official - Last Name:SAVASTANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-774-0500
Mailing Address - Street 1:16137 NW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1256
Mailing Address - Country:US
Mailing Address - Phone:954-774-0500
Mailing Address - Fax:
Practice Address - Street 1:16137 NW 21ST ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1256
Practice Address - Country:US
Practice Address - Phone:954-774-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion