FAZE 1 INTERNATIONAL INCORPORATED


Address: 200 N John Young Pkwy Ste 201c, Kissimmee, FL 34741-6601
Phone: 4073699109

FAZE 1 INTERNATIONAL INCORPORATED (NPI# 1689283467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689283467
Entity Type Organization
Organization Name FAZE 1 INTERNATIONAL INCORPORATED
Other Organization Name FAZE 1 MEDICAL SERVICES
Practice Address 200 N John Young Pkwy Ste 201c
Kissimmee
FL 34741-6601
Mailing Address 1661 Big Oak Ln
Kissimmee
FL 34746-3805
Practice Telephone 4073699109
Mailing Telephone 7863339749
Enumeration Date 2020-07-28
Last Update Date 2020-08-05
Authorized Official Name DR. CHIJIOKE HORACE NWACHUKWU (OWNER/ADMINISTRATOR)
Authorized Official Telephone 7863339749
Is Organization Subpart Y
Parent Organization Name FAZE 1 INTERNATIONAL INCORPORATED

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider/Organization Names

Other Name Type Code
FAZE 1 Medical Services Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities FAZE 1 INTERNATIONAL INCORPORATED 1661 Big Oak Ln, Kissimmee, FL 34746-3805

Office Location

Street Address 200 N JOHN YOUNG PKWY STE 201C
City KISSIMMEE
State FL
Zip Code 34741-6601

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NPI Name Taxonomy Address Enumeration
1083239834 Kathia I Torres Cintron Occupational Therapy Assistant 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 2020-06-08
1992340046 Zynia Spencer Marriage & Family Therapist 345 W. Oak St., Kissimmee, FL 34741 2019-11-13
1225597784 Leila Rosado Counselor All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 2019-03-14
1235610312 Yashirah Castillo Behavior Technician 230 Country Blvd, Apt 6, Kissimmee, FL 34741 2018-08-27
1376021352 Julio Cesar Castellanos Nurse Practitioner 1050 W Carroll St Apt 149, Kissimmee, FL 34741 2018-08-01
1245724715 Sonia Teresa Rodriguez Counselor 3438 W. Vine Street, Kissimmee, FL 34741 2018-06-19
1700376316 Jessica Mateo Social Worker 111 E Monument Ave Unit 412, Kissimmee, FL 34741 2018-05-18
1306340880 George Gianakakos Psychiatry & Neurology 720 W. Oak St., Suite 360, Kissimmee, FL 34741 2018-03-20
1154825693 Mary Catherine Slome Student in an Organized Health Care Education/Training Program 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 2018-03-20
1457855991 Sherwin Zachariah Thomas Student in an Organized Health Care Education/Training Program 720 W. Oak St., Ste 201, Kissimmee, FL 34741 2018-03-20
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023635901 Elevate Medical Equipment Inc Durable Medical Equipment & Medical Supplies 858 Duncan Ave, Kissimmee, FL 34744-1943 2020-06-26
1053955377 Walgreen Co Durable Medical Equipment & Medical Supplies 1530 Celebration Blvd Ste 100rx, Kissimmee, FL 34747-5164 2019-10-30
1053978767 The Scooter Doctor Durable Medical Equipment & Medical Supplies 3291 Oxford Dr, Kissimmee, FL 34746-4693 2019-05-29
1386134849 Hughston Orthopaedic Southeast PC Durable Medical Equipment & Medical Supplies 720 W Oak St Ste 111, Kissimmee, FL 34741-4990 2018-05-10
1033618608 Andrea Allison Durable Medical Equipment & Medical Supplies 654 N Delmonte Ct, Kissimmee, FL 34758-3211 2018-02-08
1922535673 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 3221 Vineland Rd, Kissimmee, FL 34746-4907 2017-05-12
1194135947 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 2850 E Osceola Pkwy, Kissimmee, FL 34743-6027 2014-05-02
1003246034 Elite Medical Equipment & Supplies, LLC Durable Medical Equipment & Medical Supplies 324 N John Young Pkwy, Kissimmee, FL 34741-4902 2013-11-12
1558616011 Z E Tours, Inc Durable Medical Equipment & Medical Supplies 5483 W Us Highway 192, Kissimmee, FL 34746-4713 2012-07-19
1114207388 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 3183 W Vine St, Kissimmee, FL 34741-3738 2011-08-19
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Competitor

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City KISSIMMEE
Zip Code 34741

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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