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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LICE SOURCE SERVICES, INC.

Active Organization

LICE SOURCE SERVICES, INC. is a Primary Care Clinic organization located in PLANTATION, Florida. NPI 1508092263 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · PLANTATION, FL

Registration Details

NPI Number
1508092263
Provider Type
Organization
NPI Issued
Jun 8, 2009 (17.21636530851 yrs)
Last Updated
Oct 3, 2011
Licenses
HCC8589 (FL)
HCC8589 (FL)
HCC8589 (FL)
HCC8589 (FL)
HCC8589 (FL)

Practice Information

Address
6971 W SUNRISE BLVD
SUITE #102
PLANTATION, FL, 333134407
Browse FL providers · Browse ZIP 33313
Phone
9547910711
Fax
9547914392
Primary Specialty
Primary Care Clinic
261QP2300X
Additional Specialty
Health Service Clinic
Additional Specialty
Multi-Specialty Clinic
Additional Specialty
Student Health Clinic
Additional Specialty
Primary Care Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.