=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811183205
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MD NURSING CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/19/2007
-----------------------------------------------------
Last Update Date | 08/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5600 SW 136 AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33183-1085
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-910-9019
-----------------------------------------------------
Fax | 866-577-1741
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5101 N 12TH AVE STE B
-----------------------------------------------------
City | PENSACOLA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32504-8928
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP, FINANCE
-----------------------------------------------------
Name | MICHAEL HITCHCOCK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 850-433-2155
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 299992884
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------