NPI 1730818147
Their Enterprise LLC
Practice location
- Address
- 122 E Main St # 108, Lakeland, FL 33801-4655
- Phone
- (863) 899-6696
- Fax
- (888) 821-8133
Authorised official
- Name
- Trenise Nicole Parham
- Title
- Owner
- Phone
- (863) 899-6696
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1730818147
- Entity type
- Organization
- NPI issued
- 9 Jun 2022
- Record last updated
- 9 Jun 2022
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.