Provider Demographics
NPI:1780857722
Name:MIAMI NURSING UNLIMITED INC
Entity Type:Organization
Organization Name:MIAMI NURSING UNLIMITED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:
Authorized Official - Last Name:BEREAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-251-5001
Mailing Address - Street 1:12855 SW 136TH AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5885
Mailing Address - Country:US
Mailing Address - Phone:305-251-5001
Mailing Address - Fax:786-513-0937
Practice Address - Street 1:12855 SW 136TH AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5885
Practice Address - Country:US
Practice Address - Phone:305-251-5001
Practice Address - Fax:786-513-0937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDING MEDICARE#OtherPENDING MEDICARE#