Healthcare Provider Details

I. General information

NPI: 1649611526
Provider Name (Legal Business Name): CRANKING SOFTWARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2013
Last Update Date: 07/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8930 W STATE ROAD 84 SUITE 222
DAVIE FL
33324-4456
US

IV. Provider business mailing address

8930 W STATE ROAD 84 SUITE 222
DAVIE FL
33324-4456
US

V. Phone/Fax

Practice location:
  • Phone: 877-963-3379
  • Fax: 888-320-4389
Mailing address:
  • Phone: 877-963-3379
  • Fax: 888-320-4389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: THEO ANTONIOU
Title or Position: PRESIDENT
Credential:
Phone: 877-963-3379