Provider Demographics
NPI:1215678289
Name:PIRANI HOLDING COMPANY, PLLC
Entity type:Organization
Organization Name:PIRANI HOLDING COMPANY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIVYA
Authorized Official - Middle Name:MAJMUDAR
Authorized Official - Last Name:PIRANI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, PCS
Authorized Official - Phone:904-945-7556
Mailing Address - Street 1:6817 SOUTHPOINT PKWY STE 1602
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6298
Mailing Address - Country:US
Mailing Address - Phone:904-945-7556
Mailing Address - Fax:904-379-0113
Practice Address - Street 1:1855 WELLS RD STE 3B
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-6766
Practice Address - Country:US
Practice Address - Phone:904-945-7556
Practice Address - Fax:904-379-0113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation