Healthcare Provider Details

I. General information

NPI: 1093319550
Provider Name (Legal Business Name): UNITED APOLLO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2020
Last Update Date: 03/17/2021
Certification Date: 03/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 5TH ST
MIAMI BEACH FL
33139-6508
US

IV. Provider business mailing address

12010 W HWY 290 STE 190
AUSTIN TX
78737-2831
US

V. Phone/Fax

Practice location:
  • Phone: 305-907-7566
  • Fax:
Mailing address:
  • Phone: 305-907-7566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SHERYL NEELANKAVIL JOSE
Title or Position: OWNER
Credential: MD
Phone: 305-907-7566