Healthcare Provider Details

I. General information

NPI: 1568775187
Provider Name (Legal Business Name): UNIFIED MEDICAL SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2010
Last Update Date: 11/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 S UNIVERSITY DR SUITE 267
DAVIE FL
33328-3839
US

IV. Provider business mailing address

4801 SOUTH UNIVERSITY DR. SUITE 267
DAVIE FL
33328-0000
US

V. Phone/Fax

Practice location:
  • Phone: 954-634-4292
  • Fax: 954-634-4293
Mailing address:
  • Phone: 954-634-4292
  • Fax: 954-634-4293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: JAYNE M MONTROSS
Title or Position: PRESIDENT
Credential:
Phone: 954-862-1432