Provider Demographics
NPI:1942509864
Name:SOUTH FLORIDA NURSING INC.
Entity Type:Organization
Organization Name:SOUTH FLORIDA NURSING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LENA
Authorized Official - Middle Name:GJORGJESKA
Authorized Official - Last Name:PEJDANOVSKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-366-0234
Mailing Address - Street 1:2200 N. FEDERL HWY SUITE# 219
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432
Mailing Address - Country:US
Mailing Address - Phone:754-366-0234
Mailing Address - Fax:
Practice Address - Street 1:2200 N FEDERAL HWY STE 219
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7764
Practice Address - Country:US
Practice Address - Phone:754-366-0234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service