Lice Source Services, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

HCC8589 Issued in FL

Legal business name

LICE SOURCE SERVICES, INC.

Practice address

6971 W Sunrise Blvd
Suite #102
Plantation, FL 33313-4407

Phone

(954) 791-0711

Fax

(954) 791-4392

NPI assigned

Jun 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lidia E Serrano

Title

Clinical Director

Phone

(954) 791-0711

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• South Florida Family Health & Research Centers Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1508092263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6971 W SUNRISE BLVD",
            "address_2": "SUITE #102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333134407",
            "telephone_number": "954-791-0711",
            "fax_number": "954-791-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 W SUNRISE BLVD",
            "address_2": "SUITE #102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333134407",
            "telephone_number": "954-791-0711",
            "fax_number": "954-791-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICE SOURCE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "LIDIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "954-791-0711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC8589",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC8589",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC8589",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "HCC8589",
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "FL",
            "license": "HCC8589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001642200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Florida Family Health & Research Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Carrie Li, DPT
• Jidong Li, A.P.
• Pei-Fen Li, MFT
• Liberating Love Co.
• Liberty Labs LLC
• Marshal E. Lieberfarb, MD
• Blake Lieberman
• Drew Evan Lieberman, MD
• Catherine Liebman
• Erik Davidson Lieux

• Primary Care Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.