Provider Demographics
NPI:1801369418
Name:ACT HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:ACT HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN /CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADA
Authorized Official - Middle Name:C
Authorized Official - Last Name:TAPPER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:813-324-1604
Mailing Address - Street 1:5668 FISHHAWK CROSSINGS BLVD.
Mailing Address - Street 2:SUITE 121
Mailing Address - City:LITHIA
Mailing Address - State:FL
Mailing Address - Zip Code:33547-5900
Mailing Address - Country:US
Mailing Address - Phone:813-324-1604
Mailing Address - Fax:
Practice Address - Street 1:5668 FISHHAWK CROSSINGS BLVD.
Practice Address - Street 2:SUITE 121
Practice Address - City:LITHIA
Practice Address - State:FL
Practice Address - Zip Code:33547-5900
Practice Address - Country:US
Practice Address - Phone:813-731-1463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACT HEALTH SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-07
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care HomeGroup - Single Specialty