Organization
PRN ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY SMITH-SQUIER RNFA (PRESIDENT)
(813) 641-8227
Entity
Organization
Contact information
Practice address
2009 E VIEW DR, SUN CITY CENTER, FL 33573-5184
(813) 641-8227
(888) 329-6432
Mailing address
2009 E VIEW DR, SUN CITY CENTER, FL 33573-5184
(813) 641-8227
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
518222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y082X
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/25/2007
Last updated
06/03/2013
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