Mink of Lee County Inc

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2651042 Issued in FL

Legal business name

MINK OF LEE COUNTY INC

Practice address

825 Santa Barbara Blvd.
Cape Coral, FL 33995

Phone

(239) 574-8789

NPI assigned

Nov 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Corazon Denonteverde Burias

Title

Administrator

Phone

(239) 574-8789

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mink of Lee County Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mink of Lee County, Inc. Dba the Woodlands

  • Assisted Living Facility
  • Cape Coral, FL
  • NPI 1720282288
  NPD tax ID

Locations

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1982949020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SANTA BARBARA BLVD.",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33995",
            "telephone_number": "239-574-8789",
            "fax_number": "239-574-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SANTA BARBARA BLVD.",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33995",
            "telephone_number": "239-574-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINK OF LEE COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "BURIAS",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "DENONTEVERDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-574-8789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN2651042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.N.",
            "identifier": "RN2651042",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macy Miller
• Sherry Miller, M.S, LPC, LMHC, LCPC
• Jennifer A Mills, OTR/L
• Mindful Healing Psychology LLC
• Minervas Mending Mental Health
• Mink of Lee County, Inc. Dba the Woodlands
• Jeremy Arthur Minnick, LMT
• Jorge Minoso Gonzalez
• Gustavo Minoso
• Mark A. Mintz, MD

• Registered Nurse in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.