Provider Demographics
NPI:1598953945
Name:NIGHTINGALE HOME HEALTH CARE OF MIAMI INC.
Entity Type:Organization
Organization Name:NIGHTINGALE HOME HEALTH CARE OF MIAMI INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRUNET
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:305-432-4803
Mailing Address - Street 1:8550 W FLAGLER ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2037
Mailing Address - Country:US
Mailing Address - Phone:305-432-4803
Mailing Address - Fax:305-428-2475
Practice Address - Street 1:8550 W FLAGLER ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2037
Practice Address - Country:US
Practice Address - Phone:305-432-4803
Practice Address - Fax:305-428-2475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992855251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health