Healthcare Provider Details
I. General information
NPI: 1639830110
Provider Name (Legal Business Name): ONE STOP HEALTH SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2022
Last Update Date: 01/06/2022
Certification Date: 01/06/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5015 HOLLYWOOD BLVD
HOLLYWOOD FL
33021-6515
US
IV. Provider business mailing address
18781 SW 41ST ST
MIRAMAR FL
33029-2757
US
V. Phone/Fax
- Phone: 954-237-6409
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085U0001X |
| Taxonomy | Diagnostic Ultrasound Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANCELOT
MOISE
Title or Position: PRESIDENT
Credential: MD
Phone: 954-237-6409