Organization
PROFESSIONAL NURSES REGISTRY
Active
Organization
PROFESSIONAL NURSES REGISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IBTISAM MUSTAFA (OWNER/ADMINISTRATOR)
(239) 549-0022
Entity
Organization
Contact information
Practice address
875 SE 47TH TERR., SUITE 1, CAPE CORAL, FL 33904
(239) 549-0022
(239) 549-1739
Mailing address
875 SE 47TH TERR., SUITE 1, CAPE CORAL, FL 33904
(239) 549-0022
(239) 549-1739
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
NR3009-096
FL
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
Update your record
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