Provider Demographics
NPI:1508142571
Name:REDMOND, FLORENCE T
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:T
Last Name:REDMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 BOGART AVE
Mailing Address - Street 2:2 FL
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-2148
Mailing Address - Country:US
Mailing Address - Phone:347-293-8731
Mailing Address - Fax:
Practice Address - Street 1:2122 BOGART AVE
Practice Address - Street 2:2 FL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-2148
Practice Address - Country:US
Practice Address - Phone:347-293-8731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-22
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY626193163WC1500X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health