Provider Demographics
NPI:1679350383
Name:ZENITH 24, LLC
Entity type:Organization
Organization Name:ZENITH 24, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFARO BRICENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-475-2007
Mailing Address - Street 1:2861 ELECTRONICS DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-2101
Mailing Address - Country:US
Mailing Address - Phone:321-475-2007
Mailing Address - Fax:321-475-2017
Practice Address - Street 1:2861 ELECTRONICS DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-2101
Practice Address - Country:US
Practice Address - Phone:321-475-2007
Practice Address - Fax:321-475-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy