Provider Demographics
NPI:1114685401
Name:TRANSMED SOLUTIONS LLC
Entity Type:Organization
Organization Name:TRANSMED SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIEDELCKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-821-2388
Mailing Address - Street 1:1201 5TH AVE N STE 302
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1425
Mailing Address - Country:US
Mailing Address - Phone:727-821-2388
Mailing Address - Fax:727-821-0079
Practice Address - Street 1:1201 5TH AVE N STE 302
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1425
Practice Address - Country:US
Practice Address - Phone:727-821-2388
Practice Address - Fax:727-821-0079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1578779831Medicaid