MEDICARE: SSA SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053438606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SSA SERVICES INC

Provider Business Mailing Address
First Line	:	8 PALM PLZ
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-6046
Country	:	US
Telephone Number	:	305-245-7974
Fax Number	:	305-245-9433

Provider Business Practice Location Address
First Line	:	8 PALM PLZ
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-6046
Country	:	US
Telephone Number	:	305-245-7974
Fax Number	:	305-245-9433

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	AURY LOURENCO
Credential	:	RDH
Telephone Number	:	305-245-7974

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	10/02/2009

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Directions to “SSA SERVICES INC ” Practice Location

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