=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023901139
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | P & N BILLING SOLUTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/29/2025
-----------------------------------------------------
Last Update Date | 05/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4831 NW 19TH ST
-----------------------------------------------------
City | LAUDERHILL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33313-4129
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-655-4281
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4831 NW 19TH ST
-----------------------------------------------------
City | LAUDERHILL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33313-4129
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-655-4281
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. PHINEASTRE BAZILE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-655-4281
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------