Healthcare Provider Details

I. General information

NPI: 1568476414
Provider Name (Legal Business Name): INPATIENT CLINICAL SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 08/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7551 WILES RD STE 104
CORAL SPRINGS FL
33067-2064
US

IV. Provider business mailing address

7551 WILES RD. SUITE 104
CORAL SPRINGS FL
33067-2064
US

V. Phone/Fax

Practice location:
  • Phone: 954-341-4245
  • Fax: 954-752-8214
Mailing address:
  • Phone: 954-341-4245
  • Fax: 954-752-8214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. OZZIE BLOOM
Title or Position: CEO
Credential:
Phone: 954-341-4245