MEDICARE: HEALTHCARE SOLUTIONS OF SOUTH FLORIDA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1376864769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE SOLUTIONS OF SOUTH FLORIDA

Provider Business Mailing Address
First Line	:	9815 SW 132ND CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-2236
Country	:	US
Telephone Number	:	786-348-7754
Fax Number	:

Provider Business Practice Location Address
First Line	:	9815 SW 132ND CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-2236
Country	:	US
Telephone Number	:	786-348-7754
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NELSON EMILIO SANTIESTEBAN
Credential	:
Telephone Number	:	786-348-7754

Provider Enumeration Date	:	06/20/2010
Last Update Date	:	06/20/2010

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