Healthcare Provider Details

I. General information

NPI: 1073635900
Provider Name (Legal Business Name): DCSERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 GOLDEN CYPRESS CT
ALTAMONTE SPRINGS FL
32714-1819
US

IV. Provider business mailing address

380 S STATE ROAD 434 SUITE 1004-235
ALTAMONTE SPRINGS FL
32714-3810
US

V. Phone/Fax

Practice location:
  • Phone: 407-293-5040
  • Fax: 407-293-5240
Mailing address:
  • Phone: 407-293-5040
  • Fax: 407-293-5240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License NumberHCC5216
License Number StateFL

VIII. Authorized Official

Name: MR. CHARLES ALAN MACHLER
Title or Position: OWNER
Credential:
Phone: 407-293-5040