Healthcare Provider Details

I. General information

NPI: 1528507233
Provider Name (Legal Business Name): PBPM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2017
Last Update Date: 02/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 15TH AVE
VERO BEACH FL
32962-2749
US

IV. Provider business mailing address

326 15TH AVE
VERO BEACH FL
32962-2749
US

V. Phone/Fax

Practice location:
  • Phone: 772-492-8800
  • Fax: 866-507-8678
Mailing address:
  • Phone: 772-492-8800
  • Fax: 866-507-8678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN STEPHEN DAVIS
Title or Position: PRESIDENT
Credential:
Phone: 772-492-8800