Bassa 365 Enterprises

Primary specialty

TaxiTaxonomy code 344600000X

Legal business name

BASSA 365 ENTERPRISES

Practice address

4208 Idlewild Dr
Fruitland Park, FL 34731-5638

Phone

(321) 239-7936

NPI assigned

Nov 4, 2022

Organization subpart

No

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

Authorized official

Name

Michelle Deflorimonte

Title

Asst Manager

Phone

(407) 491-4478

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1518674803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 IDLEWILD DR",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347315638",
            "telephone_number": "321-239-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 IDLEWILD DR",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347315638",
            "telephone_number": "321-239-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSA 365 ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "DEFLORIMONTE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ASST MANAGER",
        "authorized_official_telephone_number": "407-491-4478"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF ORGANIZATION",
            "identifier": "L22000138068",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrick Todd Aynes, H.I.S.
• David Michael Ayris, D.C.
• Tawnya Bagnasco, LMT
• Jennifer Barona
• Caitlin Barrett, ATC
• Lindsay Leigh Bombul
• Tonia Michelle Bowman
• Jennifer Milagros Branes
• Soreatta Brown
• Reagan Burtzlaff

• Taxi in Fruitland Park, FL
• Providers in Fruitland Park, FL by specialty
• Taxi in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.