Provider Demographics
NPI:1104843853
Name:CLINICAL SOLUTIONS OF NORTH FLORIDA, INC.
Entity type:Organization
Organization Name:CLINICAL SOLUTIONS OF NORTH FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:BENITO
Authorized Official - Last Name:PARDO
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:352-472-6633
Mailing Address - Street 1:25430 SW 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-4907
Mailing Address - Country:US
Mailing Address - Phone:352-472-6633
Mailing Address - Fax:
Practice Address - Street 1:25430 SW 16TH AVE
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-4907
Practice Address - Country:US
Practice Address - Phone:352-472-6633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral CareGroup - Single Specialty