Healthcare Provider Details

I. General information

NPI: 1205766052
Provider Name (Legal Business Name): NURSELINK CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4240 SW 149TH CT
MIAMI FL
33185-4357
US

IV. Provider business mailing address

4240 SW 149TH CT
MIAMI FL
33185-4357
US

V. Phone/Fax

Practice location:
  • Phone: 305-213-9007
  • Fax:
Mailing address:
  • Phone: 305-213-9007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LUCIA REYES
Title or Position: NURSE PRACTITIONER
Credential: ARNP
Phone: 305-213-9007