Healthcare Provider Details

I. General information

NPI: 1528479219
Provider Name (Legal Business Name): SOLO INTERNATIONAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2014
Last Update Date: 05/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 W HILLSBORO BLVD STE 100
DEERFIELD BEACH FL
33442-1107
US

IV. Provider business mailing address

2151 W HILLSBORO BLVD STE 100
DEERFIELD BEACH FL
33442-1107
US

V. Phone/Fax

Practice location:
  • Phone: 561-706-8391
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GLENN A BECKER
Title or Position: PRESIDENT
Credential:
Phone: 561-706-8391