# PEAK PROVIDER SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578865028
- **Authorized official:** JEFFREY SCOTT KOCINA (PRESIDENT/OWNER)
- **Authorized official phone:** (727) 505-0459

## Contact information

- **Practice address:** 2435 US HIGHWAY 19, SUITE 540, HOLIDAY, FL 34691-3903
- **Practice address phone:** (727) 505-0459
- **Practice address fax:** (727) 940-3492
- **Mailing address:** PO BOX 3970, HOLIDAY, FL 34692-0970
- **Mailing address phone:** (727) 505-0459
- **Mailing address fax:** (727) 857-3381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 01/21/2014