Organization Name: | FDM,PLC |
NPI Number: | 1144417791 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAJIVA GOYAL (CEO) |
Mailing Address: | 14100 Fivay Rd Ste 120 Hudson |
State: | FL US |
Postal Code: | 346677159 |
Phone Number: | 7278192338 |
Fax Number: | 7278192481 |
NPI Enumeration Date: | 09/27/2007 |
NPI Last Update Date: | 11/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME80055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |