Healthcare Provider Details

I. General information

NPI: 1376437202
Provider Name (Legal Business Name): EVOLUTION NURSE REGISTRY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 SW 72ND ST STE 447
MIAMI FL
33173-3021
US

IV. Provider business mailing address

10300 SW 72ND ST STE 447
MIAMI FL
33173-3021
US

V. Phone/Fax

Practice location:
  • Phone: 786-953-5897
  • Fax: 786-953-8598
Mailing address:
  • Phone: 786-953-5897
  • Fax: 786-953-8598

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: ALBER CASOLA
Title or Position: CEO
Credential:
Phone: 786-953-5897