Provider Demographics
NPI:1972810414
Name:OPTIONAL SOLUTIONS LLC
Entity type:Organization
Organization Name:OPTIONAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER-KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-892-9888
Mailing Address - Street 1:8448 WHITE POPLAR DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-8634
Mailing Address - Country:US
Mailing Address - Phone:813-892-9888
Mailing Address - Fax:
Practice Address - Street 1:8448 WHITE POPLAR DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-8634
Practice Address - Country:US
Practice Address - Phone:813-892-9888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL215740332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment