Healthcare Provider Details

I. General information

NPI: 1588314652
Provider Name (Legal Business Name): MEDICAL RISK SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 N CITRUS AVE
CRYSTAL RIVER FL
34428
US

IV. Provider business mailing address

2710 REW CIRCLE SUITE 200
OCOEE FL
34761
US

V. Phone/Fax

Practice location:
  • Phone: 352-565-7342
  • Fax: 352-565-5880
Mailing address:
  • Phone: 407-654-5414
  • Fax: 407-654-9614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON TOMLINSON
Title or Position: VP OPERATIONS
Credential:
Phone: 407-470-6439