Provider Demographics
NPI:1124299441
Name:SUCCESSFUL HEALTHCARE SOLUTIONS INC
Entity type:Organization
Organization Name:SUCCESSFUL HEALTHCARE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILGOREN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-504-0455
Mailing Address - Street 1:5580 COACH HOUSE CIR
Mailing Address - Street 2:#D
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-8653
Mailing Address - Country:US
Mailing Address - Phone:561-504-0455
Mailing Address - Fax:561-417-4939
Practice Address - Street 1:5580 COACH HOUSE CIR
Practice Address - Street 2:#D
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-8653
Practice Address - Country:US
Practice Address - Phone:561-504-0455
Practice Address - Fax:561-417-4939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2945742363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP44179Medicare UPIN