Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THE SOURCE OF AMERICALLC
Active
Organization
THE SOURCE OF AMERICALLC
Active
Other names
the source d.a.g.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK WHITE SR. (DIRECTOR)
(904) 703-4364
Entity
Organization
Contact information
Practice address
5301 GODDARD AVE, ORLANDO, FL 32810-5437
(407) 715-6807
Mailing address
5301 GODDARD AVE, ORLANDO, FL 32810-5437
(407) 715-6807
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RAENISHA22
—
FL
Enumeration date
04/10/2012
Last updated
04/10/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up