Provider Demographics
NPI:1487927950
Name:CENTRA HEALTHCARE SOLUTIONS
Entity type:Organization
Organization Name:CENTRA HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OMRI
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-636-2525
Mailing Address - Street 1:100 N FEDERAL HWY
Mailing Address - Street 2:#1122
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-1129
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 N FEDERAL HWY
Practice Address - Street 2:#1122
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1129
Practice Address - Country:US
Practice Address - Phone:954-636-2525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care