Healthcare Provider Details

I. General information

NPI: 1962025908
Provider Name (Legal Business Name): MEDICAL OFFICE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2020
Last Update Date: 05/26/2020
Certification Date: 05/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 N BLACK ACRE CT
WINTER SPRINGS FL
32708-4432
US

IV. Provider business mailing address

1120 N BLACK ACRE CT
WINTER SPRINGS FL
32708-4432
US

V. Phone/Fax

Practice location:
  • Phone: 321-439-1477
  • Fax:
Mailing address:
  • Phone: 321-439-1477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MAUREEN NORMAN
Title or Position: MGR
Credential:
Phone: 321-439-1477