Provider Demographics
NPI:1790248029
Name:PLATINUM HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:PLATINUM HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARAKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-807-4823
Mailing Address - Street 1:612 N FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-2109
Mailing Address - Country:US
Mailing Address - Phone:985-807-4823
Mailing Address - Fax:
Practice Address - Street 1:38569 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1033
Practice Address - Country:US
Practice Address - Phone:985-807-4823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies