Provider Demographics
NPI:1164467080
Name:TIMEFRAME, INC.
Entity Type:Organization
Organization Name:TIMEFRAME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:NAWALANIC
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA, MS
Authorized Official - Phone:954-788-5441
Mailing Address - Street 1:2900 NE 23RD PL
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-1138
Mailing Address - Country:US
Mailing Address - Phone:954-788-5441
Mailing Address - Fax:954-788-2591
Practice Address - Street 1:2120 NW 107TH TER
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-3418
Practice Address - Country:US
Practice Address - Phone:954-741-0636
Practice Address - Fax:954-741-0639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1837262367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL033633500Medicaid
FLK9756Medicare ID - Type Unspecified