Organization
5901 NW 79TH AVENUE OPERATIONS, LLC
Active
Other names
Nspire Healthcare Tamarac
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM C. PASTOR (MANAGER)
(813) 769-6280
Entity
Organization
Contact information
Practice address
5901 NW 79TH AVE, TAMARAC, FL 33321
(407) 571-1550
Mailing address
5901 NW 79TH AVE, TAMARAC, FL 33321-4639
(954) 722-7001
(954) 720-5419
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298200
—
FL
Enumeration date
06/15/2018
Last updated
09/13/2024
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