Procedural Medical Solutions, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME108998 Issued in FL

Legal business name

PROCEDURAL MEDICAL SOLUTIONS, LLC

Practice address

11523 Palmbrush TRL
# 138
Lakewood Ranch, FL 34202-2917

Phone

(941) 745-1313

Fax

(941) 745-1334

NPI assigned

Mar 13, 2013

Last updated

Mar 13, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Guillermo Gonzalez, MD

Title

Owner

Phone

(941) 745-1313

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1609117886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11523 PALMBRUSH TRL",
            "address_2": "# 138",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022917",
            "telephone_number": "941-745-1313",
            "fax_number": "941-745-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11523 PALMBRUSH TRL",
            "address_2": "# 138",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022917",
            "telephone_number": "941-745-1313",
            "fax_number": "941-745-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCEDURAL MEDICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-745-1313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME108998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Lakewood Ranch, FL
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• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.