Healthcare Provider Details
I. General information
NPI: 1356262794
Provider Name (Legal Business Name): MATRIX SUPPORT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2020 NE 135TH ST
NORTH MIAMI FL
33181-2189
US
IV. Provider business mailing address
2020 NE 135TH ST
NORTH MIAMI FL
33181-2189
US
V. Phone/Fax
- Phone: 302-360-6598
- Fax:
- Phone: 302-360-6598
- 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:
MITCH
MEYER
Title or Position: MD
Credential:
Phone: 302-360-6598