| Organization Name: | FLORIDA SUN TERMITE & PEST CONTROL, INC |
| NPI Number: | 1518341932 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES C. MISSO (OWNER) |
| Mailing Address: | 2747 Crawfordville Hwy Crawfordville |
| State: | FL US |
| Postal Code: | 323272158 |
| Phone Number: | 8509263062 |
| Fax Number: | 8509261914 |
| NPI Enumeration Date: | 07/15/2015 |
| NPI Last Update Date: | 07/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | JB4895 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |