Provider Demographics
NPI:1982457370
Name:NANDY HEALTHCARE PROFESSIONALS
Entity Type:Organization
Organization Name:NANDY HEALTHCARE PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDE TOUSSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-396-6268
Mailing Address - Street 1:4856 POND PINE WAY
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3504
Mailing Address - Country:US
Mailing Address - Phone:561-396-6268
Mailing Address - Fax:
Practice Address - Street 1:4856 POND PINE WAY
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3504
Practice Address - Country:US
Practice Address - Phone:561-396-6268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty