Provider Demographics
NPI:1033507520
Name:SUPERIOR NURSE PARTNERS LLC
Entity Type:Organization
Organization Name:SUPERIOR NURSE PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:QUINLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-239-8548
Mailing Address - Street 1:8362 PINES BLVD
Mailing Address - Street 2:SUITE 272
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6600
Mailing Address - Country:US
Mailing Address - Phone:954-239-8548
Mailing Address - Fax:
Practice Address - Street 1:12251 TAFT ST
Practice Address - Street 2:SUITE 302
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-1901
Practice Address - Country:US
Practice Address - Phone:954-239-8548
Practice Address - Fax:954-239-8501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211746251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30211746OtherNURSE REGISTRY