Healthcare Provider Details

I. General information

NPI: 1437690161
Provider Name (Legal Business Name): POSITIVELY U, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 03/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 OLD BRIDGE CIR
DAVENPORT FL
33897-7714
US

IV. Provider business mailing address

814 OLD BRIDGE CIR
DAVENPORT FL
33897-7714
US

V. Phone/Fax

Practice location:
  • Phone: 813-857-2974
  • Fax: 813-435-3290
Mailing address:
  • Phone: 813-857-2974
  • Fax: 813-435-3290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. JANET KITCHEN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 813-857-2974