MEDICARE: SOLUTION MEDICAL CENTER II 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	261QH0100X	Health Service Clinic/Center	HCC7032	FL

General Provider Information

NPI Number	:	1740439850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUTION MEDICAL CENTER II INC

Provider Business Mailing Address
First Line	:	6506 N FLORIDA AVE
Second Line	:	SUITE 101
City	:	TAMPA
State	:	FL
Zip	:	33604-6060
Country	:	US
Telephone Number	:	813-964-6872
Fax Number	:	813-964-6874

Provider Business Practice Location Address
First Line	:	6506 N FLORIDA AVE
Second Line	:	SUITE 101
City	:	TAMPA
State	:	FL
Zip	:	33604-6060
Country	:	US
Telephone Number	:	813-964-6872
Fax Number	:	813-964-6874

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RICARDO RAMOS
Credential	:	DC
Telephone Number	:	813-964-6872

Provider Enumeration Date	:	09/12/2008
Last Update Date	:	09/12/2008

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