Boomers Victory Ventures

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

BOOMERS VICTORY VENTURES

Practice address

1721 Mahogany CT NW
Palm Bay, FL 32907-6991

Phone

(321) 345-6071

NPI assigned

Jun 10, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeanette A Reyes

Title

Managing Member

Phone

(321) 345-6071

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1063346476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 MAHOGANY CT NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329076991",
            "telephone_number": "321-345-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 MAHOGANY CT NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329076991",
            "telephone_number": "321-345-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOMERS VICTORY VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "321-345-6071"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transportation Network Company in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Transportation Network Company in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.