LICE SOURCE SERVICES, INC. (NPI# 1508092263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508092263 |
| Entity Type | Organization |
| Organization Name | LICE SOURCE SERVICES, INC. |
| Other Organization Name | SOUTH FLORIDA FAMILY HEALTH & RESEARCH CENTERS |
| Practice Address |
6971 W Sunrise Blvd Suite #102 Plantation FL 33313-4407 |
| Practice Telephone | 9547910711 |
| Practice Fax Number | 9547914392 |
| Mailing Telephone | 9547910711 |
| Mailing Fax Number | 9547914392 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2011-10-03 |
| Authorized Official Name | MRS. LIDIA E SERRANO (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9547910711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | HCC8589 | FL | Ambulatory Health Care Facilities |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
HCC8589 | FL | Ambulatory Health Care Facilities |
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
HCC8589 | FL | Ambulatory Health Care Facilities |
| N | 261QS1000X |
Clinic/Center Specialization: Student Health |
HCC8589 | FL | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
HCC8589 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001642200 | 05 |
| Other Name | Type Code |
|---|---|
| South Florida Family Health & Research Centers | Doing Business As Name - Organization |
| Street Address |
6971 W SUNRISE BLVD SUITE #102 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33313-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083687222 | Francis Chandy | Internal Medicine | 6971 W Sunrise Blvd, Suite # 103, Plantation, FL 33313-4407 | 2006-02-08 |
| 1861844227 | Nancy Pyram-bernard Do LLC Lice Source Services & Sffhrc | Clinic/Center | 6971 W Sunrise Blvd, Suite 102, Plantation, FL 33313-4407 | 2016-07-11 |
| 1528456407 | Francis Chandy,m. D. Pa | Clinic/Center | 6971 W Sunrise Blvd, Suite 103, Plantation, FL 33313-4407 | 2014-12-31 |
| 1083040133 | Glenn Meyers, Md | Non-Pharmacy Dispensing Site | 6971 W Sunrise Blvd, 201, Plantation, FL 33313-4407 | 2013-09-20 |
| 1033557715 | Francis Chandy, Md Pa | Clinic/Center | 6971 W Sunrise Blvd, # 103, Plantation, FL 33313-4407 | 2013-06-04 |
| 1598007874 | Continucare Medical Group - Plantation | Non-Pharmacy Dispensing Site | 6971 W Sunrise Blvd, 201, Plantation, FL 33313-4407 | 2013-03-25 |
| 1053650549 | Vanessa Grimaldi | Physician Assistant | 6971 W Sunrise Blvd, Suite 102, Plantation, FL 33313-4407 | 2013-02-04 |
| 1992023717 | Abner Evans Sosa | Physician Assistant | 6971 W Sunrise Blvd, Plantation, FL 33313-4407 | 2010-05-05 |
| 1124256532 | Sharol Angella Patterson | Internal Medicine | 6971 W Sunrise Blvd, Suite 201, Plantation, FL 33313-4407 | 2009-06-24 |
| 1104050848 | Allison Marie Shein Holley | Family Medicine | 6971 W Sunrise Blvd, Suite 102, Plantation, FL 33313-4407 | 2009-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246148 | South Florida Sports and Preventive Medicine Inc | Clinic/Center | 510 Nw 84th Ave Apt 440, Plantation, FL 33324-1874 | 2019-03-28 |
| 1053754028 | Healthpath Medical Center, LLC | Clinic/Center | 201 Nw 82nd Ave Ste 203b, Plantation, FL 33324-1854 | 2013-04-09 |
| 1881941821 | Aiken's Primary Care LLC | Clinic/Center | 5975 W Sunrise Blvd Ste 105, Plantation, FL 33313-6801 | 2012-08-09 |
| 1306142195 | Cynthia M Auerbach | Clinic/Center | 6201 Almond Ter, Plantation, FL 33317-2562 | 2011-01-27 |
| 1558497370 | Kids Klinic, Broward Children Center | Clinic/Center | 1055 Sw 44th Ave, Plantation, FL 33317-4535 | 2007-02-26 |
| 1922160225 | Pediatrics Care Plus | Clinic/Center | 301 Nw 84th Ave Ste 203, Plantation, FL 33324-1807 | 2006-12-14 |
| 1942848833 | Mahogany Health Center Inc | Clinic/Center | 660 N State Road 7 Ste 4, Plantation, FL 33317-2117 | 2019-12-11 |
| 1124526520 | Wn Medical Inc | Clinic/Center | 499 Nw 70th Ave, Plantation, FL 33317-7500 | 2018-01-31 |
| 1861844227 | Nancy Pyram-bernard Do LLC Lice Source Services & Sffhrc | Clinic/Center | 6971 W Sunrise Blvd, Suite 102, Plantation, FL 33313-4407 | 2016-07-11 |
| 1912358169 | Dhgmso | Clinic/Center | 201 Nw 70th Ave, Suite D, Plantation, FL 33317-2369 | 2016-06-29 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33313 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.