Provider Demographics
NPI:1306316443
Name:PEACE ON EARTH FOUNDATION INC
Entity type:Organization
Organization Name:PEACE ON EARTH FOUNDATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:LLB, DBM
Authorized Official - Phone:727-455-6250
Mailing Address - Street 1:1015 ELDORADO AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33767-1024
Mailing Address - Country:US
Mailing Address - Phone:727-455-6250
Mailing Address - Fax:
Practice Address - Street 1:1323 W BUSCH BLVD STE B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7766
Practice Address - Country:US
Practice Address - Phone:813-999-4894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-02
Last Update Date:2018-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable