Pink Wildlife LLC

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

JB265723 Issued in FL

Legal business name

PINK WILDLIFE LLC

Practice address

5130 Main St Ste 3
New Port Richey, FL 34652-2105

Phone

(727) 807-7033

NPI assigned

Dec 21, 2017

Organization subpart

No

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

Authorized official

Name

Lanette A Sherlock

Title

Owner

Phone

(727) 807-7033

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1851807150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 MAIN ST STE 3",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522105",
            "telephone_number": "727-807-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 MAIN ST STE 3",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522105",
            "telephone_number": "727-807-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK WILDLIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "SHERLOCK",
        "authorized_official_first_name": "LANETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-807-7033"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": "FL",
            "license": "JB265723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Lee Picard, PH.D.
• Piece by Piece ABA Therapy Corp
• Rayana Piesco
• Jennifer Pietrzykowski
• Tomi Pihlajavaara, MD, MSC
• Celeste Pinto, MS, SLP
• Katherine Pioszak
• Kelsey Nicole Piper
• Joseph Pisani, BA
• Xhozef Pjetri, CPT

• Prevention Professional in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Prevention Professional in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.