Organization
BASSA 365 ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DEFLORIMONTE (ASST MANAGER)
(407) 491-4478
Entity
Organization
Contact information
Practice address
4208 IDLEWILD DR, FRUITLAND PARK, FL 34731-5638
(321) 239-7936
Mailing address
4208 IDLEWILD DR, FRUITLAND PARK, FL 34731-5638
(321) 239-7936
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L22000138068
ARTICLES OF ORGANIZATION
FL
Enumeration date
11/04/2022
Last updated
11/04/2022
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