MEDICARE: PHYSICIAN MEDICAL SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	332BC3200X	Customized Equipment (DME)
4	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1174915045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIAN MEDICAL SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	1260 NE 8TH ST STE 110
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-3169
Country	:	US
Telephone Number	:	239-573-7988
Fax Number	:	239-573-7898

Provider Business Practice Location Address
First Line	:	1260 NE 8TH ST STE 110
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-3169
Country	:	US
Telephone Number	:	239-573-7988
Fax Number	:	239-573-7898

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PATRICK KING
Credential	:	DC
Telephone Number	:	239-573-7988

Provider Enumeration Date	:	03/02/2015
Last Update Date	:	12/27/2023

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