Provider Demographics
NPI:1881358828
Name:NUEZRA HEALTH SERVICES
Entity type:Organization
Organization Name:NUEZRA HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EZRA
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:WARRINGTON-BAION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-564-7594
Mailing Address - Street 1:80 SW 91ST AVE APT 308
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2551
Mailing Address - Country:US
Mailing Address - Phone:952-564-7594
Mailing Address - Fax:
Practice Address - Street 1:80 SW 91ST AVE APT 308
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2551
Practice Address - Country:US
Practice Address - Phone:952-564-7594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)