Healthcare Provider Details

I. General information

NPI: 1255969259
Provider Name (Legal Business Name): MEDICAL RISK SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 03/27/2020
Certification Date: 03/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 N BLUFORD AVE
OCOEE FL
34761
US

IV. Provider business mailing address

2710 REW CIRCLE SUITE 200
OCOEE FL
34761
US

V. Phone/Fax

Practice location:
  • Phone: 407-877-0309
  • Fax: 407-877-2166
Mailing address:
  • Phone: 407-654-5415
  • Fax: 407-654-9614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON TOMLINSON
Title or Position: VP OPERATIONS
Credential:
Phone: 407-470-6439