Provider Demographics
NPI:1801262977
Name:3 TORNADO HOLDINGS LLC
Entity type:Organization
Organization Name:3 TORNADO HOLDINGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-718-2700
Mailing Address - Street 1:15231 72ND DR N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33418-1982
Mailing Address - Country:US
Mailing Address - Phone:561-249-7162
Mailing Address - Fax:561-288-5256
Practice Address - Street 1:649 US HIGHWAY 1
Practice Address - Street 2:STE 5
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4600
Practice Address - Country:US
Practice Address - Phone:561-249-7162
Practice Address - Fax:561-288-5256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL60-8016800717-8332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies