MEDICARE: FLOTSOL INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205012812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOTSOL INC

Provider Business Mailing Address
First Line	:	2411 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2123
Country	:	US
Telephone Number	:	702-463-5874
Fax Number	:	702-405-8084

Provider Business Practice Location Address
First Line	:	2411 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2123
Country	:	US
Telephone Number	:	702-463-5874
Fax Number	:	702-405-8084

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. OLUWOLE IDOWU ADEGBORUWA
Credential	:
Telephone Number	:	702-463-5874

Provider Enumeration Date	:	01/14/2008
Last Update Date	:	02/19/2012

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Directions to “FLOTSOL INC ” Practice Location

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