Provider Demographics
NPI:1174762645
Name:COMPEX SOLUTIONS, INC.
Entity type:Organization
Organization Name:COMPEX SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-926-6739
Mailing Address - Street 1:8875 HIDDEN RIVER PKWY
Mailing Address - Street 2:STE # 550
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33637-1035
Mailing Address - Country:US
Mailing Address - Phone:813-926-6739
Mailing Address - Fax:813-907-7697
Practice Address - Street 1:8875 HIDDEN RIVER PKWY
Practice Address - Street 2:STE # 550
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33637-1035
Practice Address - Country:US
Practice Address - Phone:813-926-6739
Practice Address - Fax:813-907-7697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6180128478306305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization