Healthcare Provider Details

I. General information

NPI: 1306227269
Provider Name (Legal Business Name): RELIABLE DOCUMENTS SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 CLINT MOORE RD STE 114
BOCA RATON FL
33487-2800
US

IV. Provider business mailing address

902 CLINT MOORE RD STE 114
BOCA RATON FL
33487-2800
US

V. Phone/Fax

Practice location:
  • Phone: 800-240-8404
  • Fax: 888-413-2425
Mailing address:
  • Phone: 561-221-6131
  • Fax: 888-316-3522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANK MICHELIN
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-221-6131