Nursing Home Physician in Boca Raton - Family
Nursing Home Physician - NPI 1396769725
Nursing Home Physician is a Family in Boca Raton, Florida. Nursing Home Physician practices all healthcare services and medical treatments related to Family. The NPI Number for Nursing Home Physician is 1396769725. The last update date is 2019-09-26.
Nursing Home Physician's current location address is 8091 Mizner Ln, Boca Raton, Florida. You can contact this provider via phone number 5612894642. The mailing address for Nursing Home Physician is 8091 Mizner Ln, Boca Raton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nursing Home Physician |
|---|---|
| Address | 8091 Mizner Ln, Boca Raton, Florida |
| Phone Number | 5612894642 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gidseg Glenn |
| Telephone Number | 9543631011 |
NPI Number Detail
| NPI Number | 1396769725 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2019-09-26 |
Provider Mailing Address Detail
| Address | 8091 Mizner Ln |
|---|---|
| City | Boca Raton |
| State | Florida (FL) |
| Post Code | 334331127 |
| Phone Number | 5612894642 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 759965 | FL | -- |
Post Comment/ Review Below
What is the Nursing Home Physician's unique identification number?
The Nursing Home Physician has been assigned the NPI (National Provider Identifier) Number 1396769725 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Nursing Home Physician is physically located?
The Nursing Home Physician is physically situated at the following address: 8091 Mizner Ln, Boca Raton, FL, 334331127.
What is Nursing Home Physician's area of expertise and its corresponding taxonomy classification?
The Nursing Home Physician's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1396769725 to Nursing Home Physician?
The Centers for Medicare & Medicaid Services assigned the 1396769725 to Nursing Home Physician on 2006-07-27.
As of what date was the information pertaining to Nursing Home Physician, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nursing Home Physician, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-09-26.