Healthcare Provider Details

I. General information

NPI: 1952382962
Provider Name (Legal Business Name): LYNZ MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 NE 3RD AVE
GAINESVILLE FL
32641-5769
US

IV. Provider business mailing address

PO BOX 584
MICANOPY FL
32667-0584
US

V. Phone/Fax

Practice location:
  • Phone: 352-538-9776
  • Fax:
Mailing address:
  • Phone: 352-538-9776
  • Fax: 386-462-2479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: BLAYN SAMUEL PRESS
Title or Position: OWNER/DIRECTOR
Credential: M.S.
Phone: 352-538-9776