Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lice Source Services, Inc

Organization Clinic/Center · NPI 1508092263

Lice Source Services, Inc is a Clinic/Center in Plantation, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6971 W Sunrise Blvd Ste #102
Plantation, FL 33313-4407
Phone: (954) 791-0711
Fax: (954) 791-4392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence HCC8589 (FL)
Clinic/Center Taxonomy 261Q00000X · Licence HCC8589 (FL)
Health Service Clinic/Center Taxonomy 261QH0100X · Licence HCC8589 (FL)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X · Licence HCC8589 (FL)
Student Health Clinic/Center Taxonomy 261QS1000X · Licence HCC8589 (FL)

Record details

NPI number1508092263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lidia Serrano — Clinical Director · (954) 791-0711
Other names South Florida Family Health & Research Centers
NPI enumeratedJune 8, 2009
Last updated in NPPESOctober 3, 2011
Mailing address6971 W Sunrise Blvd, Suite #102, Plantation, FL 33313-4407

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