Mbi Project Management LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

CGC1521071 Issued in FL

Legal business name

MBI PROJECT MANAGEMENT LLC

Practice address

9469 Deer Creek Cir
Lake Worth, FL 33467-2323

Phone

(561) 856-7224

NPI assigned

Jul 31, 2013

Organization subpart

No

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

Authorized official

Name

Sunshine Owen Modric

Title

President

Phone

(561) 856-7224

Specialties & licenses 2

Addresses

Other names 1

• MBI Construction Doing business as

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1902238090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9469 DEER CREEK CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672323",
            "telephone_number": "561-856-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9469 DEER CREEK CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672323",
            "telephone_number": "561-856-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBI PROJECT MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "MODRIC",
        "authorized_official_first_name": "SUNSHINE",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-856-7224"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "FL",
            "license": "CGC1521071",
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": "CGC1521071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MBI Construction",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juan Jose Maya Villamizar, M.D.
• Abraham Mayard
• Norma Noemi Mazariegas, RN
• Yevgeniya Mazurovsky
• MBH Rehabilitation Inc
• Sloan McAfee, LCSW
• Moriah Emerald McCarthy
• Desirea McClow
• Latonya McClure, LCSW
• Alex West McCormick, ATC/LAT

• Home Modifications Contractor in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Home Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.