Healthcare Provider Details

I. General information

NPI: 1568076339
Provider Name (Legal Business Name): THE EVENT RENTAL COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 02/23/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5699 BASSETT PL
SANFORD FL
32771-8501
US

IV. Provider business mailing address

5699 BASSETT PL
SANFORD FL
32771-8501
US

V. Phone/Fax

Practice location:
  • Phone: 407-490-6448
  • Fax:
Mailing address:
  • Phone: 407-490-6448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW WAYNE WEBB JR.
Title or Position: OWNER
Credential: RRT
Phone: 407-490-6448