Healthcare Provider Details
I. General information
NPI: 1013762418
Provider Name (Legal Business Name): UNITED MEDICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/19/2024
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2256 1ST ST STE 136
FORT MYERS FL
33901-2960
US
IV. Provider business mailing address
2256 1ST ST STE 136
FORT MYERS FL
33901-2960
US
V. Phone/Fax
- Phone: 407-908-1192
- Fax:
- Phone: 407-908-1192
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QI0500X |
| Taxonomy | Infusion Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CARL
JOSEPH
FIORINI
JR.
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 407-908-1192