Provider Demographics
NPI:1346005949
Name:CLINICAL SOLUTIONS BILLING AND CREDENTIALING
Entity Type:Organization
Organization Name:CLINICAL SOLUTIONS BILLING AND CREDENTIALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIRIPORN
Authorized Official - Middle Name:
Authorized Official - Last Name:CERBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-748-2269
Mailing Address - Street 1:9555 SW 175TH TER STE 559
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-5604
Mailing Address - Country:US
Mailing Address - Phone:305-748-2269
Mailing Address - Fax:
Practice Address - Street 1:9555 SW 175TH TER STE 559
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-5604
Practice Address - Country:US
Practice Address - Phone:305-748-2269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KID CENTERED THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-14
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center