Organization
STAT IV 2 U
Active
Other names
STAT IV 2 U
Organization subpart
No
Provider details
NPI number
Authorized official
LENNY MARANZANO RN (OWNER/MANAGER)
(321) 236-1070
Entity
Organization
Contact information
Practice address
2927 ADDISON DR, MELBOURNE, FL 32940-7633
(321) 236-1070
Mailing address
2927 ADDISON DR, MELBOURNE, FL 32940-7633
(321) 236-1070
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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