Organization
B.O.S.S. N.A.TAINMENT LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DASHA L BROWN BS (CEO)
(407) 451-7177
Entity
Organization
Contact information
Practice address
2756 WILLIE MAYS PKWY, ORLANDO, FL 32811-5567
(407) 451-7177
Mailing address
2756 WILLIE MAYS PKWY, ORLANDO, FL 32811-5567
(407) 451-7177
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N/A
—
FL
Enumeration date
01/04/2017
Last updated
01/04/2017
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