Healthcare Provider Details

I. General information

NPI: 1093637647
Provider Name (Legal Business Name): BLACKSTONE NURSE REGISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25200 SAWYER FRANCIS LN STE 144
LUTZ FL
33559-6947
US

IV. Provider business mailing address

25200 SAWYER FRANCIS LN STE 144
LUTZ FL
33559-6947
US

V. Phone/Fax

Practice location:
  • Phone: 813-843-5344
  • Fax:
Mailing address:
  • Phone: 813-843-5344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TANIA LEVY
Title or Position: OWNER/ADMINISTRATOR
Credential: ARNP
Phone: 813-843-5344