Provider Demographics
NPI:1124731971
Name:MULTI ABUNDANCE LLC
Entity type:Organization
Organization Name:MULTI ABUNDANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-407-2012
Mailing Address - Street 1:441 S SPRING BLVD APT 16
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-3502
Mailing Address - Country:US
Mailing Address - Phone:813-407-2012
Mailing Address - Fax:
Practice Address - Street 1:441 S SPRING BLVD APT 16
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-3502
Practice Address - Country:US
Practice Address - Phone:813-407-2012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-26
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)