Healthcare Provider Details

I. General information

NPI: 1134535925
Provider Name (Legal Business Name): PB DOCTORS GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 NW 20TH STREET SUITE F-6
BOCA RATON FL
33431-7966
US

IV. Provider business mailing address

141 NW 20TH STREET SUITE F-6
BOCA RATON FL
33431-7966
US

V. Phone/Fax

Practice location:
  • Phone: 561-212-0380
  • Fax:
Mailing address:
  • Phone: 561-210-4994
  • Fax: 954-905-4988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberME83014
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number112386
License Number StateNY

VIII. Authorized Official

Name: LEE SCOTT STEIN
Title or Position: MANAGING MEMBER
Credential:
Phone: 561-929-9263