Active NPI
Their Enterprise LLC
- Prosthetic/Orthotic Supplier
- Lakeland, FL
National Provider Identifier
1730818147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- THEIR ENTERPRISE LLC
- Practice address
- 122 E Main St # 108
Lakeland, FL 33801-4655 - Phone
- (863) 899-6696
- Fax
- (888) 821-8133
- NPI assigned
- Jun 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trenise Nicole Parham
- Title
- Owner
- Phone
- (863) 899-6696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
122 E Main St # 108
Lakeland, FL 33801-4655
Mailing address
122 E Main St # 108
Lakeland, FL 33801-4655
Phone (863) 899-6696
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 8888218133 |
National Provider Directory
National Provider DirectoryLocations
122 E Main St
#108
Lakeland, FL 33801
Phone (863) 899-6696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654732800000",
"number": "1730818147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E MAIN ST # 108",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338014655",
"telephone_number": "863-899-6696",
"fax_number": "888-821-8133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E MAIN ST # 108",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338014655",
"telephone_number": "863-899-6696",
"fax_number": "888-821-8133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THEIR ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A",
"authorized_official_last_name": "PARHAM",
"authorized_official_first_name": "TRENISE",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-899-6696"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "8888218133",
"affiliation": "N",
"endpointDescription": "Fax",
"address_1": "122 E Main St # 108",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338014655",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.