Organization
ADVANCE NURSE REGISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYNOR BINGHAM (CHIEF FINANCIAL OFFICER)
(954) 892-1561
Entity
Organization
Contact information
Practice address
2817 E OAKLAND PARK BLVD, SUITE 200-B2, FORT LAUDERDALE, FL 33306-1889
(888) 832-8850
Mailing address
2817 E OAKLAND PARK BLVD, SUITE 200-B2, FORT LAUDERDALE, FL 33306-1889
(888) 832-8850
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
30211761
FL
253Z00000X
In Home Supportive Care Agency
Primary
30211761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30211761
AHCA
FL
Enumeration date
02/18/2015
Last updated
02/25/2015
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