Healthcare Provider Details

I. General information

NPI: 1881825149
Provider Name (Legal Business Name): INFIRMIERE SURGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2009
Last Update Date: 08/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 DRYDEN CIR
SARASOTA FL
34241-6131
US

IV. Provider business mailing address

4220 DRYDEN CIR
SARASOTA FL
34241-6131
US

V. Phone/Fax

Practice location:
  • Phone: 877-279-0023
  • Fax: 877-279-0025
Mailing address:
  • Phone: 877-279-0023
  • Fax: 877-279-0025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN3012082
License Number StateFL

VIII. Authorized Official

Name: MRS. LORI ANN FRANCE
Title or Position: OWNER
Credential: RNFA
Phone: 877-279-0023