Healthcare Provider Details

I. General information

NPI: 1770409468
Provider Name (Legal Business Name): EMPIRE BIOLOGISTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1094 STRATTON AVE
SPRING HILL FL
34609-6462
US

IV. Provider business mailing address

1094 STRATTON AVE
SPRING HILL FL
34609-6462
US

V. Phone/Fax

Practice location:
  • Phone: 813-562-9074
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: TIJUANA DEBOSE
Title or Position: OWNER
Credential: PSYD
Phone: 813-562-9074