Healthcare Provider Details

I. General information

NPI: 1487016630
Provider Name (Legal Business Name): NURSING ON DEMAND INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2016
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 SAN JUAN AVE
JACKSONVILLE FL
32210-3142
US

IV. Provider business mailing address

5300 SAN JUAN AVE
JACKSONVILLE FL
32210-3142
US

V. Phone/Fax

Practice location:
  • Phone: 904-387-9406
  • Fax: 904-212-0381
Mailing address:
  • Phone: 904-387-9406
  • Fax: 904-212-0381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH MYERS
Title or Position: VICE PRESIDENT
Credential:
Phone: 904-314-9039