MEDICARE: MIAMI-DADE MEDICAL SOLUTIONS, 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	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1770849515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI-DADE MEDICAL SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	1021 IVES DAIRY RD
Second Line	:	SUITE 115
City	:	MIAMI
State	:	FL
Zip	:	33179-2537
Country	:	US
Telephone Number	:	305-653-7246
Fax Number	:	305-653-7248

Provider Business Practice Location Address
First Line	:	1021 IVES DAIRY RD
Second Line	:	SUITE 115
City	:	MIAMI
State	:	FL
Zip	:	33179-2537
Country	:	US
Telephone Number	:	305-653-7246
Fax Number	:	305-653-7248

Authorized Official
Title or Position	:	OWNER/PRESIDENT/CEO
Name	:	MRS. BERNICE TURTURO
Credential	:
Telephone Number	:	305-653-7246

Provider Enumeration Date	:	04/05/2012
Last Update Date	:	05/29/2012

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