Provider Demographics
NPI:1851771000
Name:L S SUPERIOR BILLING,LLC
Entity Type:Organization
Organization Name:L S SUPERIOR BILLING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MEDICAL BILLING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-410-3742
Mailing Address - Street 1:328 N RIDGEWOOD AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:EDGEWATER
Mailing Address - State:FL
Mailing Address - Zip Code:32132-1618
Mailing Address - Country:US
Mailing Address - Phone:386-410-3742
Mailing Address - Fax:386-410-3746
Practice Address - Street 1:328 N RIDGEWOOD AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:EDGEWATER
Practice Address - State:FL
Practice Address - Zip Code:32132-1618
Practice Address - Country:US
Practice Address - Phone:386-410-3742
Practice Address - Fax:386-410-3746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL15000089664305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization