Healthcare Provider Details

I. General information

NPI: 1588850945
Provider Name (Legal Business Name): RMP ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 NW UNIVERSITY BLVD SUITE 103
PORT ST LUCIE FL
34986-2286
US

IV. Provider business mailing address

546 NW UNIVERSITY BLVD STE 101
PORT ST LUCIE FL
34986-2286
US

V. Phone/Fax

Practice location:
  • Phone: 772-323-2099
  • Fax: 772-323-2106
Mailing address:
  • Phone: 772-323-2099
  • Fax: 772-323-2106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1956AD339700
License Number StateFL

VIII. Authorized Official

Name: REESA MCKENZIE
Title or Position: CFO
Credential:
Phone: 561-545-1083