Provider Demographics
NPI:1528480894
Name:INPATIENT MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:INPATIENT MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BALDIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOPEZ ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-852-5705
Mailing Address - Street 1:PO BOX 4277
Mailing Address - Street 2:
Mailing Address - City:N FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33918-4277
Mailing Address - Country:US
Mailing Address - Phone:347-852-5705
Mailing Address - Fax:
Practice Address - Street 1:1154 LEE BLVD STE 3
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-4852
Practice Address - Country:US
Practice Address - Phone:347-852-5705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL208M00000XOtherTAXONOMY CODE
FLME109802OtherMEDICAL LICENSE
FL207R00000XOtherTAXONOMY CODE