MEDICARE: MEDICAL RISK SOLUTIONS LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1578302261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL RISK SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2710 REW CIR STE 200
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-2967
Country	:	US
Telephone Number	:	407-654-5414
Fax Number	:	407-654-9614

Provider Business Practice Location Address
First Line	:	3100 CORAL HILLS DR STE 207
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4139
Country	:	US
Telephone Number	:	954-344-5590
Fax Number	:

Authorized Official
Title or Position	:	VPO
Name	:	JASON TOMLINSON
Credential	:
Telephone Number	:	407-470-6439

Provider Enumeration Date	:	05/22/2024
Last Update Date	:	05/22/2024

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