Provider Demographics
NPI:1679988026
Name:DYNAMIC OPPORTUNITIES LLC
Entity type:Organization
Organization Name:DYNAMIC OPPORTUNITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRUBNIKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-755-2543
Mailing Address - Street 1:601 SW 2ND AVE
Mailing Address - Street 2:SUITE #5
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5982
Mailing Address - Country:US
Mailing Address - Phone:305-755-2543
Mailing Address - Fax:
Practice Address - Street 1:601 SW 2ND AVE
Practice Address - Street 2:SUITE #5
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5982
Practice Address - Country:US
Practice Address - Phone:305-755-2543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management