Provider Demographics
NPI:1568476414
Name:INPATIENT CLINICAL SOLUTIONS INC
Entity Type:Organization
Organization Name:INPATIENT CLINICAL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OZZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-341-4245
Mailing Address - Street 1:7551 WILES RD.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2064
Mailing Address - Country:US
Mailing Address - Phone:954-341-4245
Mailing Address - Fax:954-752-8214
Practice Address - Street 1:7551 WILES RD STE 104
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2064
Practice Address - Country:US
Practice Address - Phone:954-341-4245
Practice Address - Fax:954-752-8214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL259621101OtherMEDICAID #01
FL259621100Medicaid
FL259621101OtherMEDICAID #01