Provider Demographics
NPI:1659889145
Name:ONE STOP INTEGRATED SOLUTIONS CORP.
Entity Type:Organization
Organization Name:ONE STOP INTEGRATED SOLUTIONS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LIZ
Authorized Official - Last Name:CASANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-488-5545
Mailing Address - Street 1:1411 SAWGRASS CORPORATE PKWY STE B60
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2888
Mailing Address - Country:US
Mailing Address - Phone:786-488-5545
Mailing Address - Fax:305-675-0128
Practice Address - Street 1:1411 SAWGRASS CORPORATE PKWY STE B60
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-2888
Practice Address - Country:US
Practice Address - Phone:786-488-5545
Practice Address - Fax:305-675-0128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies