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Organization
NASSAU PEST MANAGEMENT SERVICES INC
Active
Organization
NASSAU PEST MANAGEMENT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PHILLIP PROM (PRESIDENT)
(904) 591-1522
Entity
Organization
Contact information
Practice address
97056 CARPENTER RIDGE CT, YULEE, FL 32097-5053
(904) 591-1522
(904) 624-7095
Mailing address
PO BOX 16475, FERNANDINA BEACH, FL 32035-3125
(904) 591-1522
(904) 624-7095
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
251E00000X
Home Health Agency
Primary
JB5513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
676130500
—
FL
05
—
676130502
—
FL
05
—
676130503
—
FL
Enumeration date
08/02/2006
Last updated
03/23/2020
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