Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prison Rehabilitative Industries & Diversified Enterprises

Organization Dental Laboratory · NPI 1275834129

Prison Rehabilitative Industries & Diversified Enterprises is a Dental Laboratory in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

12425 28th St N Ste 300
St Petersburg, FL 33716
Phone: (727) 556-3300
Fax: (727) 570-3449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Laboratory (primary) Taxonomy 292200000X (FL)

Record details

NPI number1275834129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Kiminki — Assistant Secretary To The Board · (727) 556-3300
Other names Pride Enterprises
NPI enumeratedNovember 9, 2010
Last updated in NPPESNovember 9, 2010
Mailing address12425 28th St N, Suite 300, St Petersburg, FL 33716-1844