THE SOURCE FL PROFESSIONAL SERVICES LLC NPI 1588215784

NPI Information

  • NPI: 1588215784
  • Provider Name: THE SOURCE FL PROFESSIONAL SERVICES, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1730 E COMMERCIAL BLVD
    OAKLAND PARK, FL
    ZIP 33334
  • Phone: (954) 288-2555

Map and Directions

Get Directions

NPI Details

THE SOURCE FL PROFESSIONAL SERVICES, LLC is a general practice in Oakland Park, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee THE SOURCE FL PROFESSIONAL SERVICES, LLC NPI is 1588215784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1730 E COMMERCIAL BLVD
OAKLAND PARK, FL
ZIP 33334-721
Phone: (954) 288-2555

The provider's authorized official is Mark J Korcok .
The authorized official title is President and has the following contact phone number (954) 288-2555.

The enumeration date for this NPI number is 9/28/2019 and was last updated on 11/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI