# IMPAKT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538495718
- **Authorized official:** KRISTIN NOEL ASHLEY (CEO)
- **Authorized official phone:** (727) 492-5141

## Contact information

- **Practice address:** 2636 W GRAND RESERVE CIR, \#927, CLEARWATER, FL 33759-4903
- **Practice address phone:** (727) 492-5141
- **Mailing address:** PO BOX 4535, CLEARWATER, FL 33758-4535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2009
- **Last updated:** 10/23/2009