Organization
FAZE 1 INTERNATIONAL INCORPORATED
Active
Parent organization
FAZE 1 INTERNATIONAL INCORPORATED
Other names
FAZE 1 Medical Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAZE 1 INTERNATIONAL INCORPORATED
Authorized official
DR. CHIJIOKE HORACE NWACHUKWU (OWNER/ADMINISTRATOR)
(786) 333-9749
Entity
Organization
Contact information
Practice address
200 N JOHN YOUNG PKWY STE 201C, KISSIMMEE, FL 34741-6601
(407) 369-9109
Mailing address
1661 BIG OAK LN, KISSIMMEE, FL 34746-3805
(786) 333-9749
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
08/05/2020
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