MEDICARE: SOLUTIONS 4 LIFE 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	302R00000X	Health Maintenance Organization	FL SW6302	FL

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	:	1962789198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUTIONS 4 LIFE INC

Provider Business Mailing Address
First Line	:	6739 1ST AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33707-1307
Country	:	US
Telephone Number	:	727-341-1000
Fax Number	:	727-341-1000

Provider Business Practice Location Address
First Line	:	6739 1ST AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33707-1307
Country	:	US
Telephone Number	:	727-341-1000
Fax Number	:	727-341-1000

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. KIMBERLY DONAT ALI
Credential	:	LCSW
Telephone Number	:	727-341-1000

Provider Enumeration Date	:	11/16/2011
Last Update Date	:	01/30/2014

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Directions to “SOLUTIONS 4 LIFE INC ” Practice Location

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