| Organization Name: | SKY LIMITS 1, INC |
| NPI Number: | 1023342920 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTWON MONTAE TRICE (PRESIDENT) |
| Mailing Address: | 950 N Cocoa Blvd Unit 102 Cocoa |
| State: | FL US |
| Postal Code: | 329227582 |
| Phone Number: | 3216320675 |
| Fax Number: | 3216320673 |
| NPI Enumeration Date: | 09/24/2009 |
| NPI Last Update Date: | 09/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251F00000X |
| License Number: | 30211419 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Home Infusion |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |