Healthcare Provider Details

I. General information

NPI: 1467953372
Provider Name (Legal Business Name): 2050 ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2018
Last Update Date: 02/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 BANKS RD STE 50-N
MARGATE FL
33063-7719
US

IV. Provider business mailing address

1700 BANKS RD STE 50-N
MARGATE FL
33063-7719
US

V. Phone/Fax

Practice location:
  • Phone: 561-354-9303
  • Fax: 954-827-2865
Mailing address:
  • Phone: 561-354-9303
  • Fax: 954-827-2865

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: JOSEPH BILOTTA
Title or Position: PRESIDENT / OWNER
Credential:
Phone: 561-354-9303