Provider Demographics
NPI:1265078695
Name:MEDICAL COMPLIANCE SOLUTIONS, INC.
Entity type:Organization
Organization Name:MEDICAL COMPLIANCE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:BARDALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-266-7591
Mailing Address - Street 1:3006 AVIATION AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-3864
Mailing Address - Country:US
Mailing Address - Phone:855-266-7591
Mailing Address - Fax:855-266-7591
Practice Address - Street 1:3006 AVIATION AVE STE 2A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-3864
Practice Address - Country:US
Practice Address - Phone:855-266-7591
Practice Address - Fax:855-266-7591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty