Provider Demographics
NPI:1770466591
Name:ALMANZAR, FARISLEIDA (RN)
Entity type:Individual
Prefix:
First Name:FARISLEIDA
Middle Name:
Last Name:ALMANZAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5297 JONES RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-9505
Mailing Address - Country:US
Mailing Address - Phone:689-280-8814
Mailing Address - Fax:
Practice Address - Street 1:5297 JONES RD
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-9505
Practice Address - Country:US
Practice Address - Phone:689-280-8814
Practice Address - Fax:689-280-8814
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6907130311ZA0620X
FL9664960163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Single Specialty