Provider Demographics
NPI:1811183205
Name:MD NURSING CORP
Entity type:Organization
Organization Name:MD NURSING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-433-2155
Mailing Address - Street 1:5600 SW 136 AVE
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1085
Mailing Address - Country:US
Mailing Address - Phone:305-716-2838
Mailing Address - Fax:305-716-0309
Practice Address - Street 1:5600 SW 136 AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-1085
Practice Address - Country:US
Practice Address - Phone:305-716-2838
Practice Address - Fax:305-716-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2021-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992884251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health