# PRISON REHABILITATIVE INDUSTRIES & DIVERSIFIED ENTERPRISES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRIDE Enterprises
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275834129
- **Authorized official:** MISS DENISE KIMINKI (ASSISTANT SECRETARY TO THE BOARD)
- **Authorized official phone:** (727) 556-3300

## Contact information

- **Practice address:** 12425 28TH ST. N., SUITE 300, ST. PETERSBURG, FL 33716
- **Practice address phone:** (727) 556-3300
- **Practice address fax:** (727) 570-3449
- **Mailing address:** 12425 28TH ST N, SUITE 300, ST PETERSBURG, FL 33716-1844
- **Mailing address phone:** (727) 556-3300
- **Mailing address fax:** (727) 570-3449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | — | FL | Yes |

## Other

- **Enumeration date:** 11/09/2010
- **Last updated:** 11/09/2010