Organization
PEAK PROVIDER SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SCOTT KOCINA (PRESIDENT/OWNER)
(727) 505-0459
Entity
Organization
Contact information
Practice address
2435 US HIGHWAY 19, SUITE 540, HOLIDAY, FL 34691-3903
(727) 505-0459
(727) 940-3492
Mailing address
PO BOX 3970, HOLIDAY, FL 34692-0970
(727) 505-0459
(727) 857-3381
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686781201
—
FL
05
—
686781296
—
FL
Enumeration date
12/02/2010
Last updated
01/21/2014
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