Provider Demographics
NPI:1730731951
Name:EMPIRE PEST SOLUTIONS, INC
Entity type:Organization
Organization Name:EMPIRE PEST SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PINERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-898-3817
Mailing Address - Street 1:18702 NW 46TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-2654
Mailing Address - Country:US
Mailing Address - Phone:305-898-3817
Mailing Address - Fax:305-359-5447
Practice Address - Street 1:18702 NW 46TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-2654
Practice Address - Country:US
Practice Address - Phone:305-898-3817
Practice Address - Fax:305-359-5447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA7659764Medicaid
FLA7659764OtherIDENTIFIER NUMBER