Organization
AVIVA NURSING SERVICES INC.
Active
Other names
Mind and Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MATEO MARTINEZ (OWNER)
(954) 993-6299
Entity
Organization
Contact information
Practice address
7900 OAK LANE, SUITE 400, MIAMI LAKES, FL 33016
(305) 889-7041
(786) 431-4061
Mailing address
2655 E OAKLAND PARK BLVD, SUITE 5, FORT LAUDERDALE, FL 33306
(786) 237-8420
(786) 431-4061
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102011800
—
FL
Enumeration date
05/30/2019
Last updated
04/25/2022
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