| Organization Name: | INNOVATIVE MEDICAL SOLUTIONS, PLLC |
| NPI Number: | 1770843302 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY ANTHONY MICELI (OWNER) |
| Mailing Address: | 125 Cool Springs Blvd Suite100 Franklin |
| State: | TN US |
| Postal Code: | 370676474 |
| Phone Number: | 6157718552 |
| Fax Number: | 6157718520 |
| NPI Enumeration Date: | 05/16/2012 |
| NPI Last Update Date: | 12/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD31654 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |