Healthcare Provider Details

I. General information

NPI: 1740645126
Provider Name (Legal Business Name): BHS PHYSICIAN SERVICES OF FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2015
Last Update Date: 12/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4362 NORTHLAKE BLVD SUITE 101
PALM BEACH GARDENS FL
33410-6275
US

IV. Provider business mailing address

160 CHUBB AVE STE 206
LYNDHURST NJ
07071-3526
US

V. Phone/Fax

Practice location:
  • Phone: 561-899-4388
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: ADAM J. SCHREIBER
Title or Position: CEO
Credential:
Phone: 973-330-9403