Organization
NYSPYER2 SKILLED NURSING SERVICE LLC
Active
Other names
Nyspyer2 Skilled Nursing Service LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON DENISE FORT PN997881 (LICENSED PRACTICAL NURSE)
(352) 246-5355
Entity
Organization
Contact information
Practice address
5805 NW 27TH ST, GAINESVILLE, FL 32653-1942
(352) 246-5355
Mailing address
5805 NW 27TH ST, GAINESVILLE, FL 32653-1942
(352) 246-5355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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