LICE SOURCE SERVICES, INC.

PLANTATION, FL
NPI1508092263
Doing Business AsSOUTH FLORIDA FAMILY HEALTH & RESEARCH CENTERS
Entity TypeOrganization
Authorized ContactLIDIA E SERRANO
Clinical Director
954-791-0711
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: FL  HCC8589)
Additional Taxonomies261Q00000X Clinic/Center
(Licence: FL  HCC8589)
261QH0100X Clinic/Center, Health Services
(Licence: FL  HCC8589)
261QM1300X Clinic/Center, Multi-Specialty
(Licence: FL  HCC8589)
261QS1000X Clinic/Center, Student Health
(Licence: FL  HCC8589)
Enumeration Date2009-06-08
Last Update Date2011-10-03
Business Address
LICE SOURCE SERVICES, INC.
6971 W SUNRISE BLVD SUITE #102
PLANTATION, FL 33313-4407
Phone number: 954-791-0711
Mailing Address
LICE SOURCE SERVICES, INC.
6971 W SUNRISE BLVD SUITE #102
PLANTATION, FL 33313-4407
Phone number: 954-791-0711