Provider Demographics
NPI:1215350087
Name:MEDICA SOLUTION PARTNERS, LLC
Entity type:Organization
Organization Name:MEDICA SOLUTION PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-775-6004
Mailing Address - Street 1:11230 NW 52ND ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3001
Mailing Address - Country:US
Mailing Address - Phone:954-775-6004
Mailing Address - Fax:866-383-6608
Practice Address - Street 1:11230 NW 52ND ST
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3001
Practice Address - Country:US
Practice Address - Phone:954-775-6004
Practice Address - Fax:866-383-6608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty