Prison Rehabilitative Industries Diversified Enterprises, INC

NPI #1659531309 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1659531309
Entity Type: Organization
Organization Name: Prison Rehabilitative Industries Diversified Enterprises, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Jun 16, 2008
Last Updated: Jun 16, 2008

Practice Location

Address: 20421 SHERIDAN ST
City: Ft Lauderdale
State: Florida
ZIP Code: 33332-2300
Phone: (800) 523-1766

Authorized Official

Name: MR. PETER RADANOVICH
Title: CHIEF FINANCIAL OFFICER
Phone: (727) 556-3370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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