| Organization Name: | PROCEDURAL MEDICAL SOLUTIONS, LLC |
| NPI Number: | 1609117886 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GUILLERMO GONZALEZ (OWNER) |
| Mailing Address: | 11523 Palmbrush Trl # 138 Lakewood Ranch |
| State: | FL US |
| Postal Code: | 342022917 |
| Phone Number: | 9417451313 |
| Fax Number: | 9417451334 |
| NPI Enumeration Date: | 03/13/2013 |
| NPI Last Update Date: | 03/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME108998 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |