Organization
SRB ASSIST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE RAVITA BLACKBURN CRNFA (PRESIDENT)
(497) 445-0215
Entity
Organization
Contact information
Practice address
242 WINTER NELLIS CIR, WINTER GARDEN, FL 34787
(407) 395-9344
(407) 395-9346
Mailing address
242 WINTER NELLIS CIR, WINTER GARDEN, FL 34787
(407) 395-9344
(407) 395-9346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3314902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310681100
—
FL
Enumeration date
02/06/2007
Last updated
07/09/2015
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