Prison Rehabilitative Industries & Diversified Enterprises

NPI #1275834129 in St. Petersburg, Florida

Provider Information

NPI Number
1275834129
Entity Type
Organization
Organization Name
Prison Rehabilitative Industries & Diversified Enterprises
Primary Specialty
Dental Laboratory
Enumeration Date
Nov 9, 2010
Last Updated
Nov 9, 2010

Practice Location

Address
12425 28TH ST. N.
Address 2
SUITE 300
State
Florida
ZIP Code
33716
Phone
(727) 556-3300

Authorized Official

Name
MISS DENISE KIMINKI
Title
ASSISTANT SECRETARY TO THE BOARD
Phone
(727) 556-3300

Specialties & Taxonomy Codes

Specialty
Dental Laboratory

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