LUZ MEDY LEBRON MONCLOVA


Address: 5681 Edenfield Rd, Apt. 1005, Jacksonville, FL 32277-1469
Phone: 9043149156

LUZ MEDY LEBRON MONCLOVA (NPI# 1578915070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578915070
Entity Type Individual
Full Name LUZ MEDY LEBRON MONCLOVA
Credential RN
Practice Address 5681 Edenfield Rd
Apt. 1005
Jacksonville
FL 32277-1469
Practice Telephone 9043149156
Mailing Telephone 9043149156
Enumeration Date 2016-07-07
Last Update Date 2016-07-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 376G00000X Nursing Home Administrator RN9227949 FL Nursing Service Related Providers

Office Location

Street Address 5681 EDENFIELD RD
APT. 1005
City JACKSONVILLE
State FL
Zip Code 32277-1469

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Taxonomy Information

Taxonomy Code 376G00000X
Grouping Nursing Service Related Providers
Classification Nursing Home Administrator

Taxonomy Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552.

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Competitor

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City JACKSONVILLE
Zip Code 32277

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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