=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952295909
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UTOPIA PEST CONTROL INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2025
-----------------------------------------------------
Last Update Date | 06/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3748 NE 16TH ST
-----------------------------------------------------
City | HOMESTEAD
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33033-4612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-614-1046
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3748 NE 16TH ST
-----------------------------------------------------
City | HOMESTEAD
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33033-4612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-253-1573
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ILSA GOMEZ VARGAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 786-253-1573
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3747A0650X
-----------------------------------------------------
Taxonomy Name | Attendant Care Provider
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------