Provider Demographics
NPI:1649898503
Name:RYNOKIMCO INC.
Entity type:Organization
Organization Name:RYNOKIMCO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:B
Authorized Official - Last Name:ELKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-675-4492
Mailing Address - Street 1:10365 CAMEILLA ST
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4487
Mailing Address - Country:US
Mailing Address - Phone:954-675-4492
Mailing Address - Fax:954-953-4454
Practice Address - Street 1:10365 CAMEILLA ST
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-4487
Practice Address - Country:US
Practice Address - Phone:954-675-4492
Practice Address - Fax:954-445-4454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)