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Lice Source Services, Inc.
Student Health Clinic/Center in Plantation, Florida
NPI 1508092263

Lice Source Services, Inc. is a Student Health Clinic/Center based in Plantation, FL and is specialized in Student Health. Lice Source Services, Inc. practices in Plantation, FL. The NPI Number for Lice Source Services, Inc. is 1508092263 and holds a License No. HCC8589 (Florida).

The current practice location address for Lice Source Services, Inc. is 6971 W Sunrise Blvd, Plantation, FL and can be reached out via phone at 954-791-0711 and via fax at 954-791-4392. You can also correspond with Lice Source Services, Inc. through the mailing address at 6971 W SUNRISE BLVD, PLANTATION, FL - 33313-4407 (mailing address contact number: 954-791-0711).

Location: 6971 W Sunrise Blvd, Plantation, FL, 33313-4407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508092263
Provider Name
Lice Source Services, Inc.
Credential
Provider Entity Type
Organization
Address
6971 W Sunrise Blvd, Plantation, FL, 33313-4407
Phone Number
954-791-0711
Fax Number
954-791-4392
Provider Enumeration Date
06/08/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001642200 05 FL
institution
Provider Business Practice Location Address Details
Address
6971 W Sunrise Blvd
City
Plantation
State
Florida
Zip
33313-4407
Phone Number
954-791-0711
Fax Number
954-791-4392
person
Provider Business Mailing Address Details
Address
6971 W Sunrise Blvd
City
Plantation
State
Florida
Zip
33313-4407
Phone Number
954-791-0711
Fax Number
954-791-4392
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
HCC8589 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
HCC8589 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
HCC8589 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
HCC8589 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
261QS1000X
License No.
HCC8589 (Florida)
Definition
Definition to come...
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