Provider Demographics
NPI:1447674163
Name:BRICK CITY PEST CONTROL, INC
Entity type:Organization
Organization Name:BRICK CITY PEST CONTROL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAND
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-732-4244
Mailing Address - Street 1:PO BOX 4637
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-4637
Mailing Address - Country:US
Mailing Address - Phone:352-732-4244
Mailing Address - Fax:352-629-2359
Practice Address - Street 1:500 E FORT KING ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2277
Practice Address - Country:US
Practice Address - Phone:352-732-4244
Practice Address - Fax:352-629-2359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-17
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLJB174745174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty