Organization Name: | SSA SERVICES INC |
NPI Number: | 1053438606 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AURY LOURENCO (OFFICE MANAGER) |
Mailing Address: | 8 Palm Plz Homestead |
State: | FL US |
Postal Code: | 330306046 |
Phone Number: | 3052457974 |
Fax Number: | 3052459433 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 10/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |