Provider Demographics
NPI:1891934139
Name:ADVANTAGE PRIVATE NURSING SERVICES OF FL, INC.
Entity type:Organization
Organization Name:ADVANTAGE PRIVATE NURSING SERVICES OF FL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-267-1845
Mailing Address - Street 1:8300 COLLEGE PKWY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-4104
Mailing Address - Country:US
Mailing Address - Phone:239-267-1845
Mailing Address - Fax:239-267-1895
Practice Address - Street 1:8300 COLLEGE PKWY
Practice Address - Street 2:SUITE 204
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-4104
Practice Address - Country:US
Practice Address - Phone:239-267-1845
Practice Address - Fax:239-267-1895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA 299993217251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health