Organization Name: | PEAK PROVIDER SERVICES, INC |
NPI Number: | 1578865028 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY SCOTT KOCINA (PRESIDENT/OWNER) |
Mailing Address: | 2435 Us Highway 19 Suite 540 Holiday |
State: | FL US |
Postal Code: | 346913903 |
Phone Number: | 7275050459 |
Fax Number: | 7279403492 |
NPI Enumeration Date: | 12/02/2010 |
NPI Last Update Date: | 01/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |