Healthcare Provider Details

I. General information

NPI: 1598726309
Provider Name (Legal Business Name): INNOVATIVE NURSING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 04/13/2022
Certification Date: 09/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

561 E MITCHELL HAMMOCK RD STE 200
OVIEDO FL
32765-5526
US

IV. Provider business mailing address

561 E MITCHELL HAMMOCK RD STE 200
OVIEDO FL
32765-5526
US

V. Phone/Fax

Practice location:
  • Phone: 407-647-4895
  • Fax: 407-647-5580
Mailing address:
  • Phone: 407-647-4895
  • Fax: 407-647-5580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA213030961
License Number StateFL

VIII. Authorized Official

Name: MRS. KAREN JEAN VOLOSIN
Title or Position: PRESIDENT
Credential: RN
Phone: 407-647-4895