Provider Demographics
NPI:1033304787
Name:AIRPORT MEDICAL SOLUTIONS, INC.
Entity Type:Organization
Organization Name:AIRPORT MEDICAL SOLUTIONS, INC.
Other - Org Name:VIP COMPLIANCE CONSULTING, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:ILIANA
Authorized Official - Last Name:PEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-470-2220
Mailing Address - Street 1:2404 NW 87TH PL
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1201
Mailing Address - Country:US
Mailing Address - Phone:305-470-2220
Mailing Address - Fax:305-470-2765
Practice Address - Street 1:2404 NW 87TH PL
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1201
Practice Address - Country:US
Practice Address - Phone:305-470-2220
Practice Address - Fax:305-470-2765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME28511208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty