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NPI Code Detail

MEDICARE: BENEFIT COMMUNITY SOURCE LLC

MEDICARE: BENEFIT COMMUNITY SOURCE LLC
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
1347E00000XTransportation Broker

Other Identifiers

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

General Provider Information

NPI Number : 1558996850
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENEFIT COMMUNITY SOURCE LLC
Provider Business Mailing Address
First Line : 550 N REO ST STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33609-1037
Country : US
Telephone Number : 813-435-8829
Fax Number :
Provider Business Practice Location Address
First Line : 550 N REO ST STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33609-1037
Country : US
Telephone Number : 813-435-8829
Fax Number :
Authorized Official
Title or Position : MS.
Name : MS. CASSANDRA GARVEY
Credential :
Telephone Number : 813-435-8829
Provider Enumeration Date : 03/06/2020
Last Update Date : 03/06/2020

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Directions to “BENEFIT COMMUNITY SOURCE LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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