Provider Demographics
NPI:1033400692
Name:ADVANCED NURSING OF SOUTH FLORIDA LLC
Entity Type:Organization
Organization Name:ADVANCED NURSING OF SOUTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:SOTOMAYOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-796-7770
Mailing Address - Street 1:357 ALMERIA AVE
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5801
Mailing Address - Country:US
Mailing Address - Phone:305-796-7770
Mailing Address - Fax:305-460-0837
Practice Address - Street 1:357 ALMERIA AVE
Practice Address - Street 2:SUITE 102A
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5801
Practice Address - Country:US
Practice Address - Phone:305-796-7770
Practice Address - Fax:305-460-0837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-29
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2750132251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health