Provider Demographics
NPI:1659590180
Name:FIRSTLANTIC NURSES REGISTRY, INC
Entity Type:Organization
Organization Name:FIRSTLANTIC NURSES REGISTRY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-900-7302
Mailing Address - Street 1:2605 WEST ATLANTIC AVE
Mailing Address - Street 2:SUITE A202
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445
Mailing Address - Country:US
Mailing Address - Phone:561-243-7979
Mailing Address - Fax:561-243-9671
Practice Address - Street 1:2605 WEST ATLANTIC AVE
Practice Address - Street 2:SUITE A202
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445
Practice Address - Country:US
Practice Address - Phone:561-243-7979
Practice Address - Fax:561-243-9671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211112251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health