Provider Demographics
NPI:1043566524
Name:JUDITH PANFIL RNFA INC
Entity type:Organization
Organization Name:JUDITH PANFIL RNFA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PANFIL
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA
Authorized Official - Phone:561-389-7568
Mailing Address - Street 1:8648 URANUS TERRACE
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-1661
Mailing Address - Country:US
Mailing Address - Phone:561-389-7568
Mailing Address - Fax:561-627-6057
Practice Address - Street 1:8648 URANUS TERRACE
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-1661
Practice Address - Country:US
Practice Address - Phone:561-389-7568
Practice Address - Fax:561-627-6057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1124612163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46408OtherBLUE CROSS BLUE SHIELD