<Unavail>
LBN: Radiance Enterprises Inc
<Unavail> is an health care organization with primary practice located at 417 N West St , Bushnell FL 33513-6021. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Radiance Enterprises Inc can be contacted via phone (352) 569-5800, or through Diamond, Jack via phone (352) 569-5800.
Contact Information
Primary practice address
417 N West St
Bushnell FL 33513-6021
Phone: (352) 569-5800
Fax: (352) 569-5802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH25415 | Florida |
Profile Details
| NPI number | 1134413560 |
|---|---|
| LBN Legal business name | Radiance Enterprises Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Diamond, Jack |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 2nd, 2011 |
| Last updated | Jun 8th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134413560 | NPPES |
| Other | 2130577 | PK | |
| MEDICAID | 003766101 | PK | |
| MEDICAID | 003766100 | PK |
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