Healthcare Provider Details

I. General information

NPI: 1104746122
Provider Name (Legal Business Name): EMERALD NURSE REGISTRY.INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 W ATLANTIC BLVD STE 203
MARGATE FL
33063-5157
US

IV. Provider business mailing address

6101 W ATLANTIC BLVD STE 203
MARGATE FL
33063-5157
US

V. Phone/Fax

Practice location:
  • Phone: 754-755-6705
  • Fax: 954-775-8475
Mailing address:
  • Phone: 754-755-6705
  • Fax: 954-775-8475

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: KARINA ARLETTY DEFRAN
Title or Position: OWNER
Credential:
Phone: 954-882-0013