Healthcare Provider Details

I. General information

NPI: 1528767712
Provider Name (Legal Business Name): A & J NURSES REGISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 NW 151ST ST STE 204
MIAMI LAKES FL
33014-2454
US

IV. Provider business mailing address

5901 NW 151ST ST STE 204
MIAMI LAKES FL
33014-2454
US

V. Phone/Fax

Practice location:
  • Phone: 786-631-3738
  • Fax: 305-675-2861
Mailing address:
  • Phone: 786-631-3738
  • Fax: 305-675-2861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUAN CARLOS PEREZ
Title or Position: OWNER
Credential:
Phone: 786-631-3738