Florida State Nurse Registry South LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

FLORIDA STATE NURSE REGISTRY SOUTH LLC

Practice address

12200 Menta St Ste 101
Orlando, FL 32837-7540

Phone

(352) 261-6475

Fax

(844) 584-8424

NPI assigned

Jan 16, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerome P Rowe

Title

Ceo/President

Phone

(407) 744-4496

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1013788207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 MENTA ST STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377540",
            "telephone_number": "352-261-6475",
            "fax_number": "844-584-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 MENTA ST STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377540",
            "telephone_number": "352-261-6475",
            "fax_number": "844-584-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA STATE NURSE REGISTRY SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "407-744-4496"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.