MEDICARE: ADVANTAGE PRIVATE NURSING SERVICES OF FL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HHA 299993217	FL

General Provider Information

NPI Number	:	1891934139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE PRIVATE NURSING SERVICES OF FL, INC.

Provider Business Mailing Address
First Line	:	8300 COLLEGE PKWY
Second Line	:	SUITE 204
City	:	FORT MYERS
State	:	FL
Zip	:	33919-4104
Country	:	US
Telephone Number	:	239-267-1845
Fax Number	:	239-267-1895

Provider Business Practice Location Address
First Line	:	8300 COLLEGE PKWY
Second Line	:	SUITE 204
City	:	FORT MYERS
State	:	FL
Zip	:	33919-4104
Country	:	US
Telephone Number	:	239-267-1845
Fax Number	:	239-267-1895

Authorized Official
Title or Position	:	ALTERNATE ADMINISTRATOR
Name	:	MRS. MELANIE A SPENCER
Credential	:
Telephone Number	:	239-267-1845

Provider Enumeration Date	:	02/10/2009
Last Update Date	:	02/10/2009

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