Provider Demographics
NPI:1659307221
Name:PERFECT MEDICAL SOLUTIONS
Entity Type:Organization
Organization Name:PERFECT MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-314-9718
Mailing Address - Street 1:306 BEVERLY CT
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-5943
Mailing Address - Country:US
Mailing Address - Phone:407-831-2006
Mailing Address - Fax:321-972-5974
Practice Address - Street 1:306 BEVERLY CT
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-5943
Practice Address - Country:US
Practice Address - Phone:407-831-2006
Practice Address - Fax:321-972-5974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM2788OtherBCBS OF FLORIDA
FL031985600Medicaid
FLM2788OtherBCBS OF FLORIDA