Provider Demographics
NPI:1437693199
Name:NUNEZ GARCIA, OSIEL (RN AND APRN)
Entity Type:Individual
Prefix:
First Name:OSIEL
Middle Name:
Last Name:NUNEZ GARCIA
Suffix:
Gender:M
Credentials:RN AND APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 POLK ST APT 20
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6719
Mailing Address - Country:US
Mailing Address - Phone:786-217-8442
Mailing Address - Fax:
Practice Address - Street 1:2222 POLK ST APT 20
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6719
Practice Address - Country:US
Practice Address - Phone:786-217-8442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2019-11-25
Deactivation Date:2019-10-28
Deactivation Code:
Reactivation Date:2019-11-04
Provider Licenses
StateLicense IDTaxonomies
FLRN9439295163W00000X
FLAPRN11004845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse