Provider Demographics
NPI:1376966614
Name:NLH BOCAMED INC
Entity Type:Organization
Organization Name:NLH BOCAMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-558-6577
Mailing Address - Street 1:19 ROYAL PALM WAY
Mailing Address - Street 2:PH 302
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7879
Mailing Address - Country:US
Mailing Address - Phone:561-558-6577
Mailing Address - Fax:
Practice Address - Street 1:19 ROYAL PALM WAY
Practice Address - Street 2:PH 302
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-7879
Practice Address - Country:US
Practice Address - Phone:561-558-6577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9162696163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty