MEDICARE: ALLIED CORE SOLUTIONS LLC

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	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1881574127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED CORE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4915 NW 180TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-3251
Country	:	US
Telephone Number	:	305-504-9829
Fax Number	:

Provider Business Practice Location Address
First Line	:	4915 NW 180TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-3251
Country	:	US
Telephone Number	:	305-504-9829
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KEITH RANDOLPH WILSON
Credential	:
Telephone Number	:	305-504-9829

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	01/06/2026

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Directions to “ALLIED CORE SOLUTIONS LLC ” Practice Location

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