Healthcare Provider Details

I. General information

NPI: 1295644011
Provider Name (Legal Business Name): STAT TRIAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 COTTONWOOD PL
BOCA RATON FL
33431-8223
US

IV. Provider business mailing address

1489 W PALMETTO PARK RD STE 500
BOCA RATON FL
33486-3326
US

V. Phone/Fax

Practice location:
  • Phone: 904-914-2803
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MATEUSZ KIRAGA
Title or Position: CEO OWNER FOUNDER TRIAGE NURSE
Credential: RN BSN
Phone: 561-464-5526