Provider Demographics
NPI:1649926247
Name:SOUTHERN OFFICE SOLUTIONS FLORIDA, LLC
Entity type:Organization
Organization Name:SOUTHERN OFFICE SOLUTIONS FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-301-5341
Mailing Address - Street 1:10890 150TH CT N
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478-6817
Mailing Address - Country:US
Mailing Address - Phone:561-301-5341
Mailing Address - Fax:
Practice Address - Street 1:12959 PALMS WEST DR STE 130
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-4938
Practice Address - Country:US
Practice Address - Phone:561-793-5657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty