Provider Demographics
NPI:1699112672
Name:THE MOTTAS COMPANY
Entity type:Organization
Organization Name:THE MOTTAS COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MOTTAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-485-0444
Mailing Address - Street 1:2951 MERRILL BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-3187
Mailing Address - Country:US
Mailing Address - Phone:904-485-0444
Mailing Address - Fax:904-296-5045
Practice Address - Street 1:2 FAIRFIELD BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-4626
Practice Address - Country:US
Practice Address - Phone:904-485-0444
Practice Address - Fax:904-296-5045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health