Osprey of North Florida Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OSPREY OF NORTH FLORIDA INC

Doing business as

Osprey Point Nursing Center

Practice address

1104 N Main St
Bushnell, FL 33513-5045

Phone

(352) 568-8777

Fax

(352) 568-8780

NPI assigned

Jan 4, 2007

Last updated

Oct 17, 2007By 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

Mr. Robert Daniel Mead

Title

Regional Vice President

Phone

(352) 568-8777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Osprey Point Nursing Center Doing business as

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1740337526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N MAIN ST",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335135045",
            "telephone_number": "352-568-8777",
            "fax_number": "352-568-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N MAIN ST",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335135045",
            "telephone_number": "352-568-8777",
            "fax_number": "352-568-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSPREY OF NORTH FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT",
        "authorized_official_telephone_number": "352-568-8777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M1X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osprey Point Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vijaya L Nagabhairu, MD
• Raihna Maklay Newcomb, PTA
• Desirae Newell, PHARMD
• Joseph Brent Novak, D.M.D
• Osprey Nursing and Rehabilitation, LLC (Osprey Point Nursing Center)
• Osprey SNF Operations LLC (Osprey Point Nursing Center)
• Angel Gabriel Pagan, M. D.
• Dixie Palesch
• Alianna Marie Payabyab, PT, DPT
• Ramon A Perez, M.D.

• Skilled Nursing Facility in Bushnell, FL
• Providers in Bushnell, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.