Provider Demographics
NPI:1285973487
Name:BIZZOOM, INC.
Entity type:Organization
Organization Name:BIZZOOM, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:KUBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-953-3777
Mailing Address - Street 1:505 S ORANGE AVE
Mailing Address - Street 2:101
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-7575
Mailing Address - Country:US
Mailing Address - Phone:941-953-3777
Mailing Address - Fax:941-953-5602
Practice Address - Street 1:505 S ORANGE AVE
Practice Address - Street 2:101
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7575
Practice Address - Country:US
Practice Address - Phone:941-953-3777
Practice Address - Fax:941-953-5602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy