| Pb Outpatient Services Florida, Llc | |
|
112 N Oak St Ste 109 Lantana FL 33462-3260 | |
| (615) 567-7252 | |
| Not Available |
| Full Name | Pb Outpatient Services Florida, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 112 N Oak St Ste 109, Lantana, Florida |
| Authorized Official Name and Position | Robert S. Waggener (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6155677253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pb Outpatient Services Florida, Llc Po Box 207807 Dallas TX 75320-7807 Ph: (561) 337-2600 | Pb Outpatient Services Florida, Llc 112 N Oak St Ste 109 Lantana FL 33462-3260 Ph: (615) 567-7252 |
| NPI Number | 1255818639 |
|---|---|
| Provider Enumeration Date | 07/27/2018 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255818639 | NPI | - | NPPES |
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