Provider Demographics
NPI:1144732181
Name:ANIVA NETWORK LLC
Entity type:Organization
Organization Name:ANIVA NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAJIV
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-631-3108
Mailing Address - Street 1:8702 NATIVE DANCER RD N
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7730
Mailing Address - Country:US
Mailing Address - Phone:561-315-5037
Mailing Address - Fax:561-658-0331
Practice Address - Street 1:321 NORTHLAKE BLVD STE 212
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5412
Practice Address - Country:US
Practice Address - Phone:866-631-3108
Practice Address - Fax:561-658-0331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies