Provider Demographics
NPI:1669884839
Name:ADMINISTRATIVE SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:ADMINISTRATIVE SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-200-6989
Mailing Address - Street 1:335 E LINTON BLVD
Mailing Address - Street 2:B14-2015
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5023
Mailing Address - Country:US
Mailing Address - Phone:954-200-6989
Mailing Address - Fax:
Practice Address - Street 1:335 E LINTON BLVD
Practice Address - Street 2:B14-2015
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5023
Practice Address - Country:US
Practice Address - Phone:954-200-6989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care