Provider Demographics
NPI:1750545653
Name:INDOOR AIR QUALITY ASSESSMENT & REMEDIATION AGENCY
Entity type:Organization
Organization Name:INDOOR AIR QUALITY ASSESSMENT & REMEDIATION AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:O
Authorized Official - Last Name:SHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:CES
Authorized Official - Phone:727-393-3327
Mailing Address - Street 1:8976 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-3850
Mailing Address - Country:US
Mailing Address - Phone:727-393-3327
Mailing Address - Fax:727-319-4430
Practice Address - Street 1:8976 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-3850
Practice Address - Country:US
Practice Address - Phone:727-393-3327
Practice Address - Fax:727-319-4430
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE TECH INDUSTRIES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-10
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSEMINOLE 635251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health