PROVIDER SERVICES OF AMERICA LLC NPI 1689022147

NPI Information

PROVIDER SERVICES OF AMERICA, LLC is a non pharmacy dispensing site in Boca Raton, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PROVIDER SERVICES OF AMERICA, LLC NPI is 1689022147. The provider is registered as an organization entity type.

The provider's business location address is:

2385 NW EXECUTIVE CENTER DR
SUITE 100
BOCA RATON, FL
ZIP 33431-579
Phone: (561) 463-8102
Fax: (561) 331-2707

The provider's authorized official is Harrison Zipper .
The authorized official title is Owner and has the following contact phone number (561) 463-8102.

The enumeration date for this NPI number is 5/25/2016 and was last updated on 5/26/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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