Organization
PHOENIX PRO MANAGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MODRIC CONTRACTOR (OWNER)
(561) 591-7597
Entity
Organization
Contact information
Practice address
700 S ROSEMARY AVE STE 204-2052, WEST PALM BEACH, FL 33401-6313
(561) 236-9384
(361) 210-1136
Mailing address
700 S ROSEMARY AVE STE 204-2052, WEST PALM BEACH, FL 33401-6313
(561) 236-9384
(361) 210-1136
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332BC3200X
Customized Equipment (DME)
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
04/09/2021
Last updated
01/17/2025
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