Provider Demographics
NPI:1023554763
Name:INSTITUTE OF NURSING EXCELLENCE
Entity Type:Organization
Organization Name:INSTITUTE OF NURSING EXCELLENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUNO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:888-885-5535
Mailing Address - Street 1:3853 NORTHDALE BLVD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-1861
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3853 NORTHDALE BLVD
Practice Address - Street 2:SUITE 170
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-1861
Practice Address - Country:US
Practice Address - Phone:888-885-5535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL040491251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion