Nurse Register Optimus Care LLC
Technician, Attendant Care Provider in Davie, FL. Organization (NPI-2).
NPI number1619659208
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1619659208
- Entity type
- Organization (NPI-2)
- Legal business name
- Nurse Register Optimus Care LLC
- Organization subpart
- No
- Enumeration date
- Aug 2, 2023
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
6191 Orange Dr Ste 6153b#2Davie, FL 33314-3454
Phone 754-946-4323 · Fax 754-946-4323
Mailing address
6191 Orange Dr Ste 6153b#2Davie, FL 33314-3454
Phone 754-946-4323 · Fax 754-946-4323
Authorized official
Maria Isabel Ortega
Owner
3052163639
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