Organization
THEIR ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENISE NICOLE PARHAM (OWNER)
(863) 899-6696
Entity
Organization
Contact information
Practice address
122 E MAIN ST # 108, LAKELAND, FL 33801-4655
(863) 899-6696
(888) 821-8133
Mailing address
122 E MAIN ST # 108, LAKELAND, FL 33801-4655
(863) 899-6696
(888) 821-8133
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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