Provider Demographics
NPI:1487381661
Name:DENISE A PANCYRZ LLC
Entity type:Organization
Organization Name:DENISE A PANCYRZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PANCYRZ
Authorized Official - Suffix:
Authorized Official - Credentials:CHN
Authorized Official - Phone:630-281-0873
Mailing Address - Street 1:1083 N COLLIER BLVD # 187
Mailing Address - Street 2:
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145-2539
Mailing Address - Country:US
Mailing Address - Phone:630-281-0873
Mailing Address - Fax:
Practice Address - Street 1:3735 MONTREUX LN APT 204
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-6479
Practice Address - Country:US
Practice Address - Phone:630-281-0873
Practice Address - Fax:888-848-1763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)