Provider Demographics
NPI:1598064651
Name:ALBITE, NEIDA
Entity Type:Individual
Prefix:MRS
First Name:NEIDA
Middle Name:
Last Name:ALBITE
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 1:30255 SW 163RD CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-3338
Mailing Address - Country:US
Mailing Address - Phone:305-245-4858
Mailing Address - Fax:305-245-4858
Practice Address - Street 1:30255 SW 163 CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-3338
Practice Address - Country:US
Practice Address - Phone:305-245-4858
Practice Address - Fax:305-245-4858
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL003013500163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory