Healthcare Provider Details

I. General information

NPI: 1326375148
Provider Name (Legal Business Name): RESOLUTIONS MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2009
Last Update Date: 11/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 45TH ST SUITE 109
WEST PALM BEACH FL
33407-2026
US

IV. Provider business mailing address

2151 45TH ST SUITE 109
WEST PALM BEACH FL
33407-2026
US

V. Phone/Fax

Practice location:
  • Phone: 561-422-6650
  • Fax: 561-422-8708
Mailing address:
  • Phone: 561-422-6650
  • Fax: 561-422-8708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME84110
License Number StateFL

VIII. Authorized Official

Name: DR. DAVID LOUCAS
Title or Position: PHYSICIAN
Credential: MD
Phone: 561-951-4027