Provider Demographics
NPI:1902388176
Name:ATLANTIS HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:ATLANTIS HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTO
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:305-677-6115
Mailing Address - Street 1:14331 SW 120TH ST STE 213
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7297
Mailing Address - Country:US
Mailing Address - Phone:305-677-6115
Mailing Address - Fax:305-721-1547
Practice Address - Street 1:14331 SW 120TH ST STE 213
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186
Practice Address - Country:US
Practice Address - Phone:305-677-6115
Practice Address - Fax:305-721-1547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies