Provider Demographics
NPI:1134290596
Name:MEDSOLUTION SERVICES
Entity Type:Organization
Organization Name:MEDSOLUTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:IRAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTALVO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-782-7522
Mailing Address - Street 1:4640 LIPSCOMB ST NE
Mailing Address - Street 2:SUITE #3
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-2986
Mailing Address - Country:US
Mailing Address - Phone:877-782-7522
Mailing Address - Fax:954-301-4640
Practice Address - Street 1:4640 LIPSCOMB ST NE
Practice Address - Street 2:SUITE #3
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-2986
Practice Address - Country:US
Practice Address - Phone:877-782-7522
Practice Address - Fax:954-301-4640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4839620001OtherSUPPLIER ID