LICE CLINICS OF AMERICA OF SOUTHWEST FLORIDA
NPI 1730687070
Technician, Other in Bonita Springs, FL

Active since January 31, 2018
8881 TERRENE CT STE 104, BONITA SPRINGS, FL 34135(239) 237-0757 Get Directions Write a Review

NPPES record last updated: January 31, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Technician, Other

About LICE CLINICS OF AMERICA OF SOUTHWEST FLORIDA

This page provides the complete NPI Profile along with additional information for Lice Clinics Of America Of Southwest Florida, a provider established in Bonita Springs, Florida operating as a Technician, Other. The healthcare provider is registered in the NPI registry with number 1730687070 assigned on January 2018. The practitioner's primary taxonomy code is 247200000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Lice Clinics Of America Of Southwest Florida. The authorized official of this NPI record is Mr. Jeffrey Randolph (Owner)

NPI
1730687070 Verify this NPI
Provider Legal Name
LICE AVENGERS OF SW FLORIDA LLC
Other Organization Name
LICE CLINICS OF AMERICA OF SOUTHWEST FLORIDA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8881 TERRENE CT STE 104 BONITA SPRINGS, FL 34135
Location Phone
(239) 237-0757
Mailing Address
8881 TERRENE CT STE 104 BONITA SPRINGS, FL 34135
Mailing Phone
(239) 237-0757
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2018
Last Update Date
01-31-2018
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician, Other

Taxonomy Code
247200000X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEFFREY RANDOLPH

Authorized Official Title
OWNER
Authorized Official Phone
(608) 509-6807

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Specialist
8881 TERRENE CT STE 104
BONITA SPRINGS, FL 34135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730687070, enumerated as an "organization" on January 31, 2018.

The provider is located at 8881 TERRENE CT STE 104 BONITA SPRINGS, FL 34135 and the phone number is (239) 237-0757.

Technician, Other with taxonomy code 247200000X.