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Provider Services Of America, Llc
Non-Pharmacy Dispensing Site in Boca Raton, Florida
NPI 1689022147

Provider Services Of America, Llc is a Non-Pharmacy Dispensing Site based in Boca Raton, FL. Provider Services Of America, Llc practices in Boca Raton, FL. The NPI Number for Provider Services Of America, Llc is 1689022147 and holds a License No. (Florida).

The current practice location address for Provider Services Of America, Llc is 2385 Nw Executive Center Dr, Boca Raton, FL and can be reached out via phone at 561-463-8102 and via fax at 561-331-2707.

Location: 2385 Nw Executive Center Dr, Boca Raton, FL, 33481-2140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689022147
Provider Name
Provider Services Of America, Llc
Credential
Provider Entity Type
Organization
Address
2385 Nw Executive Center Dr, Boca Raton, FL, 33481-2140
Phone Number
561-463-8102
Fax Number
561-331-2707
Provider Enumeration Date
05/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16-00063751 01 FL CITY TAX RECEIPT
institution
Provider Business Practice Location Address Details
Address
2385 Nw Executive Center Dr
City
Boca Raton
State
Florida
Zip
33431-8579
Phone Number
561-463-8102
Fax Number
561-331-2707
person
Provider Business Mailing Address Details
Address
2385 Nw Executive Center Dr
City
Boca Raton
State
Florida
Zip
33431-8579
Phone Number
561-463-8102
Fax Number
561-331-2707
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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