Flying Nurses International LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

FLYING NURSES INTERNATIONAL LLC

Practice address

250 Palm Coast Pkwy NE Ste 607-265
Palm Coast, FL 32137-8224

Phone

(877) 521-1333

Fax

(904) 621-9924

NPI assigned

Jul 24, 2019

Last updated

Jul 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Michael Broederdorf

Title

Owner/President

Phone

(877) 521-1333

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1184277576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PALM COAST PKWY NE STE 607-265",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378224",
            "telephone_number": "877-521-1333",
            "fax_number": "904-621-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PALM COAST PKWY NE STE 607-265",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378224",
            "telephone_number": "877-521-1333",
            "fax_number": "904-621-9924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Solee Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321372758",
            "country_code": "US",
            "telephone_number": "808-386-7478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLYING NURSES INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "BROEDERDORF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "877-521-1333"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfq@flyingnursesintl.net",
            "affiliation": "N",
            "endpointDescription": "flight coordinator contact",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct secure messages",
            "address_1": "250 Palm Coast Pkwy NE Ste 607-265",
            "city": "Palm Coast",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321378224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.