Organization
E MED NURSING REGISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP THOMPSON (CEO)
(754) 234-0536
Entity
Organization
Contact information
Practice address
18350 NW 2ND AVE, MIAMI GARDENS, FL 33169
(754) 234-0536
Mailing address
8280 NE 1ST PL, MIAMI, FL 33138-3748
(754) 234-0536
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
30211788
FL
Other
Enumeration date
08/05/2015
Last updated
06/22/2018
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