Provider Demographics
NPI:1306317557
Name:REDSPOT HEALTHCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:REDSPOT HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KUREYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-662-1551
Mailing Address - Street 1:2405 ALAQUA DR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-3124
Mailing Address - Country:US
Mailing Address - Phone:321-662-1551
Mailing Address - Fax:
Practice Address - Street 1:180 E LANDSTREET RD STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-7862
Practice Address - Country:US
Practice Address - Phone:321-662-1551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care