Healthcare Provider Details

I. General information

NPI: 1669227062
Provider Name (Legal Business Name): UNITED MEDICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2024
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 E MAIN ST STE 208
BARTOW FL
33830-4703
US

IV. Provider business mailing address

415 E MAIN ST STE 208
BARTOW FL
33830-4703
US

V. Phone/Fax

Practice location:
  • Phone: 407-908-1192
  • Fax:
Mailing address:
  • Phone: 407-908-1192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CARL FIORINI JOSEPH FIORINI JR.
Title or Position: PRESIDENT /OWNER
Credential:
Phone: 407-908-1192