Provider Demographics
NPI:1679915516
Name:TAMIAMI MEDICAL SOLUTIONS, INC.
Entity Type:Organization
Organization Name:TAMIAMI MEDICAL SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HANDRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARENO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-815-3710
Mailing Address - Street 1:13205 SW 137TH AVE
Mailing Address - Street 2:STE 126
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5331
Mailing Address - Country:US
Mailing Address - Phone:305-815-3710
Mailing Address - Fax:
Practice Address - Street 1:13205 SW 137TH AVE
Practice Address - Street 2:STE 126
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5331
Practice Address - Country:US
Practice Address - Phone:305-815-3710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service