Provider Demographics
NPI:1376231985
Name:SOUND OFF MEDIA CONCEPTS, LLC
Entity Type:Organization
Organization Name:SOUND OFF MEDIA CONCEPTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-342-1854
Mailing Address - Street 1:161 NE 110TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7045
Mailing Address - Country:US
Mailing Address - Phone:305-342-1854
Mailing Address - Fax:
Practice Address - Street 1:161 NE 110TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-7045
Practice Address - Country:US
Practice Address - Phone:305-342-1854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUND OFF MEDIA CONCEPTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management