Healthcare Provider Details

I. General information

NPI: 1275183972
Provider Name (Legal Business Name): MEDICAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 09/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 BROYLES DR SE
PALM BAY FL
32909-2355
US

IV. Provider business mailing address

353 BROYLES DR SE
PALM BAY FL
32909-2355
US

V. Phone/Fax

Practice location:
  • Phone: 321-987-9654
  • Fax:
Mailing address:
  • Phone: 321-987-9654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State

VIII. Authorized Official

Name: VALERIE HUGGINS
Title or Position: RN
Credential:
Phone: 321-987-9654