Provider Demographics
NPI:1902238090
Name:MBI PROJECT MANAGEMENT LLC
Entity Type:Organization
Organization Name:MBI PROJECT MANAGEMENT LLC
Other - Org Name:MBI CONSTRUCTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUNSHINE
Authorized Official - Middle Name:OWEN
Authorized Official - Last Name:MODRIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-856-7224
Mailing Address - Street 1:9469 DEER CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2323
Mailing Address - Country:US
Mailing Address - Phone:561-856-7224
Mailing Address - Fax:
Practice Address - Street 1:9469 DEER CREEK CIR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2323
Practice Address - Country:US
Practice Address - Phone:561-856-7224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCGC1521071171W00000X, 171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty