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NPI Code Detail

MEDICARE: FB HEALTH SOLUTIONS

MEDICARE: FB HEALTH SOLUTIONS
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
1261QM1300XMulti-Specialty Clinic/Center
2261QP2300XPrimary Care Clinic/Center
3261QU0200XUrgent Care Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1528691961
Entity Type Code : Organization
Provider Name (Legal Business Name) : FB HEALTH SOLUTIONS
Provider Business Mailing Address
First Line : PO BOX 5943
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23471-0943
Country : US
Telephone Number : 561-757-4475
Fax Number :
Provider Business Practice Location Address
First Line : 2501 E HALLANDALE BEACH BLVD
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-4818
Country : US
Telephone Number : 954-932-0120
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ANIBAL TINEO
Credential :
Telephone Number : 954-932-0120
Provider Enumeration Date : 02/13/2020
Last Update Date : 07/21/2021

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Directions to “FB HEALTH SOLUTIONS ” Practice Location

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