Healthcare Provider Details

I. General information

NPI: 1821367251
Provider Name (Legal Business Name): ADVANCED NURSING OF SOUTH FLORIDA LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2011
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 ALMERIA AVE STE 102
CORAL GABLES FL
33134-5801
US

IV. Provider business mailing address

357 ALMERIA AVE STE 102
CORAL GABLES FL
33134-5801
US

V. Phone/Fax

Practice location:
  • Phone: 305-460-8600
  • Fax: 305-460-0837
Mailing address:
  • Phone: 305-460-8600
  • Fax: 305-460-0837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSE SOTOMAYOR
Title or Position: PRESIDENT
Credential: R.N
Phone: 305-796-7770