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General NPI Number Information
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NPI Number | 1770466591
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Entity Type | Individual
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Provider Name | FARISLEIDA ALMANZAR RN
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 5297 JONES RD
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City | SAINT CLOUD
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State | FL
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Zip | 34771-9505
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Country | US
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Telephone | 689-280-8814
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Fax | 689-280-8814
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Provider Business Mailing Address
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Address Line | 5297 JONES RD
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City | SAINT CLOUD
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State | FL
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Zip | 34771-9505
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Country | US
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Telephone | 689-280-8814
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 6907130
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 9664960
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License Number State | FL
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