Provider Demographics
NPI:1003085077
Name:ACADEMY OF MEDICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ACADEMY OF MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMALIA
Authorized Official - Middle Name:ROSALYN
Authorized Official - Last Name:PINEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, SA-C
Authorized Official - Phone:305-557-8303
Mailing Address - Street 1:15450 NEW BARN RD
Mailing Address - Street 2:SUIT 106
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2169
Mailing Address - Country:US
Mailing Address - Phone:305-557-8303
Mailing Address - Fax:
Practice Address - Street 1:15450 NEW BARN RD
Practice Address - Street 2:SUIT 106
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-2169
Practice Address - Country:US
Practice Address - Phone:305-557-8303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 74724207V00000X
246YC3302X, 247200000X
07-179246ZC0007X
RDMS 98631247100000X, 2471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office BasedGroup - Multi-Specialty
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Multi-Specialty
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty