Healthcare Provider Details

I. General information

NPI: 1164304556
Provider Name (Legal Business Name): ABN ENTERPRISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 OAKFIELD DR STE 127
BRANDON FL
33511-4907
US

IV. Provider business mailing address

8051 N TAMIAMI TRL STE E6
SARASOTA FL
34243-2067
US

V. Phone/Fax

Practice location:
  • Phone: 888-676-6074
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: ERIKA CARTER
Title or Position: ADMINISTRATOR
Credential:
Phone: 760-659-7312