The Source Fl Professional Services, Llc

LBN: The Source Fl Professional Services, Llc
The Source Fl Professional Services, Llc is an health care organization with primary practice located at 1730 E Commercial Blvd , Oakland Park FL 33334-5721. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. The Source Fl Professional Services, Llc can be contacted via phone (954) 288-2555, or through Korcok, Mark J via phone (954) 288-2555.

Contact Information

Primary practice address
1730 E Commercial Blvd Oakland Park FL 33334-5721
Phone: (954) 288-2555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Korcok, Mark J
Phone: (954) 288-2555

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1588215784
LBN Legal business name The Source Fl Professional Services, Llc
DBA Doing business as
Authorized official Korcok, Mark J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2019
Last updated Nov 22nd, 2019 - about 7 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.

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