Organization Name: | MEDICAL SOLUTIONS HEALTH CARE CENTER LLC |
NPI Number: | 1255503108 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOROTHY J COOK (OWNER) |
Mailing Address: | 13940 N Us Highway 441 Suite 503 Lady Lake |
State: | FL US |
Postal Code: | 321598908 |
Phone Number: | 3527505882 |
Fax Number: | 3527509947 |
NPI Enumeration Date: | 04/01/2008 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |