Healthcare Provider Details

I. General information

NPI: 1609695972
Provider Name (Legal Business Name): TOWER PEST CONTROL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2024
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7760 W 20TH AVE STE 14
HIALEAH FL
33016-1830
US

IV. Provider business mailing address

7760 W 20TH AVE STE 14
HIALEAH FL
33016-1830
US

V. Phone/Fax

Practice location:
  • Phone: 305-821-3888
  • Fax:
Mailing address:
  • Phone: 305-821-3888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA TORRE
Title or Position: VICE PRESIDENT
Credential:
Phone: 305-821-3888