Provider Demographics
NPI:1750694543
Name:NDM PARTNERS LLC
Entity type:Organization
Organization Name:NDM PARTNERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BENTANCUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-287-5432
Mailing Address - Street 1:500 N DIXIE HWY STE 104
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-1186
Mailing Address - Country:US
Mailing Address - Phone:772-287-5432
Mailing Address - Fax:772-497-7012
Practice Address - Street 1:500 NW DIXIE HWY
Practice Address - Street 2:SUITE 104
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994
Practice Address - Country:US
Practice Address - Phone:772-287-5432
Practice Address - Fax:772-497-7012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-21
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNR30211392251J00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care