Healthcare Provider Details

I. General information

NPI: 1154246460
Provider Name (Legal Business Name): MA SPECIALIZED SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 N FEDERAL HWY STE 207
BOCA RATON FL
33487-1681
US

IV. Provider business mailing address

8000 N FEDERAL HWY STE 207
BOCA RATON FL
33487-1681
US

V. Phone/Fax

Practice location:
  • Phone: 954-654-8510
  • Fax:
Mailing address:
  • Phone: 954-654-8510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ABIGAIL A DISBURY
Title or Position: OWNER
Credential: MBA
Phone: 954-654-8510