Provider Demographics
NPI:1225526569
Name:PARADISE MEDICAL SOLUTIONS, INC
Entity Type:Organization
Organization Name:PARADISE MEDICAL SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATEESE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-440-5154
Mailing Address - Street 1:18350 NW 2ND AVE STE 404
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4519
Mailing Address - Country:US
Mailing Address - Phone:786-440-5154
Mailing Address - Fax:786-440-5184
Practice Address - Street 1:18350 NW 2ND AVE STE 404
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4519
Practice Address - Country:US
Practice Address - Phone:305-974-2125
Practice Address - Fax:305-974-2178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies