Provider Demographics
NPI:1609696061
Name:AIRWAZE LLC
Entity type:Organization
Organization Name:AIRWAZE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANNELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-350-0446
Mailing Address - Street 1:1502 DORGALI DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-2836
Mailing Address - Country:US
Mailing Address - Phone:941-350-0446
Mailing Address - Fax:
Practice Address - Street 1:1505 MONROE AVE
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18509-2443
Practice Address - Country:US
Practice Address - Phone:941-350-0446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies