NPI 1275834129
Prison Rehabilitative Industries & Diversified Enterprises
Practice location
- Address
- 12425 28th St. N. Suite 300, St. Petersburg, FL 33716
- Phone
- (727) 556-3300
- Fax
- (727) 570-3449
- Mailing address
- 12425 28th St N Suite 300, St Petersburg, FL 33716-1844
Authorised official
- Name
- Denise Kiminki
- Title
- Assistant Secretary to the Board
- Phone
- (727) 556-3300
Registered specialties
Dental Laboratory
Primary
Registry record
- NPI
- 1275834129
- Entity type
- Organization
- NPI issued
- 9 Nov 2010
- Record last updated
- 9 Nov 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.