Provider Services Of America, Llc
LBN: Provider Services Of America, Llc
Provider Services Of America, Llc is an health care organization with primary practice located at 2385 Nw Executive Center Dr Suite 100, Boca Raton FL 33431-8579. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty.
Provider Services Of America, Llc can be contacted via phone (561) 463-8102, or through Zipper, Harrison via phone (561) 463-8102.
Contact Information
Primary practice address
2385 Nw Executive Center Dr Suite 100
Boca Raton FL 33431-8579
Phone: (561) 463-8102
Fax: (561) 331-2707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Non-Pharmacy Dispensing Site | 332900000X |
Profile Details
| NPI number | 1689022147 |
|---|---|
| LBN Legal business name | Provider Services Of America, Llc |
| DBA Doing business as | |
| Authorized official | Zipper, Harrison |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 25th, 2016 |
| Last updated | May 26th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689022147 | NPPES |
| Florida | Other | 16-00063751 | CITY TAX RECEIPT |
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