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NPI Code Detail

MEDICARE: PB SERVICE POOL, INC.

MEDICARE: PB SERVICE POOL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1386894871
Entity Type Code : Organization
Provider Name (Legal Business Name) : PB SERVICE POOL, INC.
Provider Business Mailing Address
First Line : 1051 W 29TH ST
Second Line : SUITE 2
City : HIALEAH
State : FL
Zip : 33012-5057
Country : US
Telephone Number : 305-887-2659
Fax Number : 305-887-2677
Provider Business Practice Location Address
First Line : 1051 W 29TH ST
Second Line : SUITE 2
City : HIALEAH
State : FL
Zip : 33012-5057
Country : US
Telephone Number : 305-887-2659
Fax Number : 305-887-2677
Authorized Official
Title or Position : PRESIDENT
Name : MR. PABLO CASTRO
Credential :
Telephone Number : 305-887-2659
Provider Enumeration Date : 09/22/2008
Last Update Date : 09/22/2008

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Directions to “PB SERVICE POOL, INC. ” Practice Location

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