Provider Demographics
NPI:1174915045
Name:PHYSICIAN MEDICAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:PHYSICIAN MEDICAL SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-573-7988
Mailing Address - Street 1:1260 NE 8TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-3169
Mailing Address - Country:US
Mailing Address - Phone:239-573-7988
Mailing Address - Fax:239-573-7898
Practice Address - Street 1:1260 NE 8TH ST STE 110
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-3169
Practice Address - Country:US
Practice Address - Phone:239-573-7988
Practice Address - Fax:239-573-7898
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KING FAMILY CHIROPRACTIC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-02
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty