Provider Demographics
NPI:1407318397
Name:UNIVERSAL DESIGN SOLUTIONS LLC
Entity Type:Organization
Organization Name:UNIVERSAL DESIGN SOLUTIONS LLC
Other - Org Name:UNIVERSAL DESIGN SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CRC
Authorized Official - Phone:904-721-2225
Mailing Address - Street 1:11555 CENTRAL PKWY STE 1002
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-2702
Mailing Address - Country:US
Mailing Address - Phone:904-721-2225
Mailing Address - Fax:877-430-2291
Practice Address - Street 1:11555 CENTRAL PKWY STE 1002
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-2702
Practice Address - Country:US
Practice Address - Phone:904-721-2225
Practice Address - Fax:877-430-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105158800Medicaid