Healthcare Provider Details
I. General information
NPI: 1881227767
Provider Name (Legal Business Name): NURSING ON DEMAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/19/2020
Last Update Date: 02/19/2020
Certification Date: 02/19/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2201 S BAY ST # B-1
EUSTIS FL
32726-6300
US
IV. Provider business mailing address
1260 MCDUFF AVE S # 4
JACKSONVILLE FL
32205-8030
US
V. Phone/Fax
- Phone: 904-387-9406
- Fax: 904-212-0381
- Phone: 904-387-9406
- Fax: 904-212-0387
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
MYERS
Title or Position: VICE PRESIDENT
Credential:
Phone: 904-387-9406