=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619827235
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNIVERSAL MEDICAL PRACTICE SOLUTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/02/2026
-----------------------------------------------------
Last Update Date | 02/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18494 VIA DI SORRENTO
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33496-1966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-513-6510
-----------------------------------------------------
Fax | 718-684-1995
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18494 VIA DI SORRENTO
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33496-1966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-513-6510
-----------------------------------------------------
Fax | 718-684-1995
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COMPLIANCE OFFICER
-----------------------------------------------------
Name | SHARON THORNE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 718-684-1996
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM1300X
-----------------------------------------------------
Taxonomy Name | Multi-Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------