Prima Food Corp

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

License

CAT1618359 Issued in FL

Legal business name

PRIMA FOOD CORP

Doing business as

Diana Food Group

Practice address

4020 NE 10TH Way
Pompano Beach, FL 33064-5169

Phone

(954) 788-0411

Fax

(954) 788-0207

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ricardo D. Wodnicki

Title

President

Phone

(954) 788-0411

Specialties & licenses 1

Addresses

Other names 1

• Diana Food Group Doing business as

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912098633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 NE 10TH WAY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645169",
            "telephone_number": "954-788-0411",
            "fax_number": "954-788-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 NE 10TH WAY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645169",
            "telephone_number": "954-788-0411",
            "fax_number": "954-788-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA FOOD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WODNICKI",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-788-0411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "FL",
            "license": "CAT1618359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diana Food Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Delivered Meals in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Home Delivered Meals in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.