Ruth Altidor-Floreus
Individual provider Active NPI Wound Care Registered Nurse · North Lauderdale, FL
NPI 1205385291 · NPPES record last updated Oct 2, 2016
Key facts
- NPI
- 1205385291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Wound Care Registered Nurse 163WW0000X
- License
- 9210922 (FL)
- Practice address
- 6805 Merion PL
North Lauderdale, FL 33068-3705 - Phone
- (954) 240-1458
- NPI assigned
- Oct 2, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9210922 | FL | MD | Wound Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 9210922 | FL | Yes |
Addresses
Primary practice location
6805 Merion PL
North Lauderdale, FL 33068-3705
Mailing address
4026 NW 38TH Ave
Lauderdale Lakes, FL 33309-4813
Phone (954) 240-1458
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.