Organization
ABLEHOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY A. SHEA (OWNER)
(321) 432-7894
Entity
Organization
Contact information
Practice address
3765 OAK LN, MELBOURNE, FL 32934-7519
(321) 432-7894
(866) 778-9848
Mailing address
3765 OAK LN, MELBOURNE, FL 32934-7519
(321) 432-7894
(866) 778-9848
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
CBC057382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684605096
—
FL
05
—
684605098
—
FL
Enumeration date
11/18/2010
Last updated
11/18/2010
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