Healthcare Provider Details

I. General information

NPI: 1619500196
Provider Name (Legal Business Name): MNS HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2020
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 NE 125TH ST STE 305
NORTH MIAMI FL
33161-5746
US

IV. Provider business mailing address

915 NE 125TH ST STE 305
NORTH MIAMI FL
33161-5746
US

V. Phone/Fax

Practice location:
  • Phone: 786-440-9775
  • Fax:
Mailing address:
  • Phone: 786-440-9775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MYRTHENE NICOLAS
Title or Position: FNP-BC
Credential: APRN
Phone: 310-955-8367