Healthcare Provider Details
I. General information
NPI: 1568329456
Provider Name (Legal Business Name): FRESH MEALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17201 COLLINS AVE APT 3803
SUNNY ISLES BEACH FL
33160-3484
US
IV. Provider business mailing address
17201 COLLINS AVE APT 3803
SUNNY ISLES BEACH FL
33160-3484
US
V. Phone/Fax
- Phone: 215-802-9923
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335G00000X |
| Taxonomy | Medical Foods Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
IGOR
FURER
Title or Position: PRESIDENT
Credential:
Phone: 215-802-9923