MEDICARE: INPATIENT CLINICAL SOLUTIONS INC

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	208M00000X	Hospitalist Physician
2	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568476414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INPATIENT CLINICAL SOLUTIONS INC

Provider Business Mailing Address
First Line	:	7551 WILES RD.
Second Line	:	SUITE 104
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2064
Country	:	US
Telephone Number	:	954-341-4245
Fax Number	:	954-752-8214

Provider Business Practice Location Address
First Line	:	7551 WILES RD STE 104
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2064
Country	:	US
Telephone Number	:	954-341-4245
Fax Number	:	954-752-8214

Authorized Official
Title or Position	:	CEO
Name	:	MRS. OZZIE BLOOM
Credential	:
Telephone Number	:	954-341-4245

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	08/18/2010

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7551 WILES RD. SUITE 104
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Practice Location Address:

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Practice Location Address:

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1700237096 — DAVID DEXTER HAYWARD M.S., MCAP, LMHC
Practice Location Address:

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Directions to “INPATIENT CLINICAL SOLUTIONS INC ” Practice Location

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