# ADVANCE NURSE REGISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972995504
- **Authorized official:** RAYNOR BINGHAM (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (954) 892-1561

## Contact information

- **Practice address:** 2817 E OAKLAND PARK BLVD, SUITE 200-B2, FORT LAUDERDALE, FL 33306-1889
- **Practice address phone:** (888) 832-8850
- **Mailing address:** 2817 E OAKLAND PARK BLVD, SUITE 200-B2, FORT LAUDERDALE, FL 33306-1889
- **Mailing address phone:** (888) 832-8850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | 30211761 | FL | — |
| 253Z00000X | In Home Supportive Care Agency | 30211761 | FL | Yes |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 02/25/2015