Healthcare Provider Details

I. General information

NPI: 1881574127
Provider Name (Legal Business Name): ALLIED CORE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 NW 180TH TER
MIAMI GARDENS FL
33055-3251
US

IV. Provider business mailing address

4915 NW 180TH TER
MIAMI GARDENS FL
33055-3251
US

V. Phone/Fax

Practice location:
  • Phone: 305-504-9829
  • Fax:
Mailing address:
  • Phone: 305-504-9829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: KEITH RANDOLPH WILSON
Title or Position: MANAGER
Credential:
Phone: 305-504-9829