Organization · Type 2 NPI

Lice Source Services, Inc.

Primary Care Clinic/Center · Plantation, FL

NPI number 1508092263 Active

Practice location

6971 W Sunrise Blvd, Suite #102
Plantation, FL 33313-4407

Call (954) 791-0711 Map

Fax (954) 791-4392

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000XHCC8589 (FL)
Health Service Clinic/Center 261QH0100XHCC8589 (FL)
Multi-Specialty Clinic/Center 261QM1300XHCC8589 (FL)
Primary Care Clinic/Center Primary 261QP2300XHCC8589 (FL)
Student Health Clinic/Center 261QS1000XHCC8589 (FL)

Primary Care Clinic/Center: Definition to come...

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About NPI 1508092263

Lice Source Services, Inc.'s National Provider Identifier is 1508092263, issued on Jun 8, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Plantation, FL. The record was last updated on Oct 3, 2011.