PRISON REHABILITATIVE INDUSTRIES & DIVERSIFIED ENTERPRISES NPI 1275834129

NPI Information

PRISON REHABILITATIVE INDUSTRIES & DIVERSIFIED ENTERPRISES is a dental laboratory in St. Petersburg, FL. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. PRISON REHABILITATIVE INDUSTRIES & DIVERSIFIED ENTERPRISES NPI is 1275834129. The provider is registered as an organization entity type.
The provider Is Doing Business As Pride Enterprises.

The provider's business location address is:

12425 28TH ST. N.
SUITE 300
ST. PETERSBURG, FL
ZIP 33716
Phone: (727) 556-3300
Fax: (727) 570-3449

The provider's authorized official is Denise Kiminki .
The authorized official title is Assistant Secretary To The Board and has the following contact phone number (727) 556-3300.

The enumeration date for this NPI number is 11/9/2010 and was last updated on 11/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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