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THE SOURCE FL PROFESSIONAL SERVICES, LLC
NPI 1588215784
General Practice in Oakland Park, FL

Active since September 28, 2019
1730 E COMMERCIAL BLVD, OAKLAND PARK, FL 33334(954) 288-2555 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Nov 22, 2019, Sep 28, 2019 (2 updates tracked since 2019).

About The Source Fl Professional Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SOURCE FL PROFESSIONAL SERVICES, LLC (NPI 1588215784) is a healthcare organization registered as a general practice in Oakland Park, Florida and active in the NPI registry since September 2019. The organization lists Mark J Korcok, President, as its authorized official.

NPPES Registry Identity

NPI1588215784
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTHE SOURCE FL PROFESSIONAL SERVICES, LLC
Location Address1730 E COMMERCIAL BLVDOakland Park, FL 33334-5721
Mailing Address1730 E Commercial BlvdOakland Park, FL 33334-5721 · (954) 288-2555
Phone(954) 288-2555
Organization SubpartNo
Authorized OfficialMark J KorcokPresident · (954) 288-2555
Enumeration DateSeptember 28, 2019
Last NPPES UpdateNovember 22, 20192 updates tracked since enumeration
✔ NPI 1588215784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
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
1730 E COMMERCIAL BLVD, Oakland Park, FL 33334
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE SOURCE FL
Substance Abuse Rehabilitation Facility
1730 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334
Broward County (954) 288-2555
LETICIA FERRARO LMHC
Counselor (Mental Health)
1730 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334
Broward County (954) 489-5700
ADDICTIONS BEHAVIORAL HEALTH CENTER OF AMERICA PROFESSIONAL GROUP, LLC
General Practice
1730 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334
Broward County (954) 288-2555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Source Fl Professional Services, LLC's NPI number?

The NPI number for The Source Fl Professional Services, LLC is 1588215784. It was assigned to this organization in the NPPES registry on September 28, 2019.

Where is The Source Fl Professional Services, LLC located?

The Source Fl Professional Services, LLC is located at 1730 E Commercial Blvd, Oakland Park, FL 33334. The listed phone number is (954) 288-2555.

What is The Source Fl Professional Services, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for The Source Fl Professional Services, LLC was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.