Healthcare Provider Details
I. General information
NPI: 1770309023
Provider Name (Legal Business Name): MIBR SOLUTIONS CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/02/2024
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 NW 183RD ST STE 318C
MIAMI GARDENS FL
33169-4537
US
IV. Provider business mailing address
111 NW 183RD ST STE 318C
MIAMI GARDENS FL
33169-4537
US
V. Phone/Fax
- Phone: 954-478-7485
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELE
BRITO
Title or Position: PRESIDENT
Credential:
Phone: 954-478-7485