Healthcare Provider Details

I. General information

NPI: 1114832599
Provider Name (Legal Business Name): WIDESOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3703 NE 166TH ST APT 208
NORTH MIAMI BEACH FL
33160-3802
US

IV. Provider business mailing address

1645 NE 175TH ST
NORTH MIAMI BEACH FL
33162-1442
US

V. Phone/Fax

Practice location:
  • Phone: 660-600-9817
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DONNA BURTON
Title or Position: OWNER
Credential:
Phone: 660-600-9817