Healthcare Provider Details

I. General information

NPI: 1740439850
Provider Name (Legal Business Name): SOLUTION MEDICAL CENTER II INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2008
Last Update Date: 09/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6506 N FLORIDA AVE SUITE 101
TAMPA FL
33604-6060
US

IV. Provider business mailing address

6506 N FLORIDA AVE SUITE 101
TAMPA FL
33604-6060
US

V. Phone/Fax

Practice location:
  • Phone: 813-964-6872
  • Fax: 813-964-6874
Mailing address:
  • Phone: 813-964-6872
  • Fax: 813-964-6874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberHCC7032
License Number StateFL

VIII. Authorized Official

Name: MR. RICARDO RAMOS
Title or Position: PRESIDENT
Credential: DC
Phone: 813-964-6872