Provider Demographics
NPI:1649043761
Name:SIGNATURE MEDICAL & HEALTH SOLUTIONS
Entity type:Organization
Organization Name:SIGNATURE MEDICAL & HEALTH SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:IBANEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-298-5285
Mailing Address - Street 1:1666 J F KENNEDY CSWY STE 210
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4134
Mailing Address - Country:US
Mailing Address - Phone:305-857-9220
Mailing Address - Fax:
Practice Address - Street 1:1666 J F KENNEDY CSWY STE 210
Practice Address - Street 2:
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4134
Practice Address - Country:US
Practice Address - Phone:305-857-9220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies