| Lawnwood Pavilion Physician Services Llc | |
|
1870 N Lawnwood Cir Fort Pierce FL 34950-4828 | |
| (772) 467-3948 | |
| (772) 467-3953 |
| Full Name | Lawnwood Pavilion Physician Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1870 N Lawnwood Cir, Fort Pierce, Florida |
| Authorized Official Name and Position | Patrick Birmingham (DIRECTOR) |
| Authorized Official Contact | 6153737625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawnwood Pavilion Physician Services Llc 1870 N Lawnwood Cir Fort Pierce FL 34950-4828 Ph: (772) 467-3948 | Lawnwood Pavilion Physician Services Llc 1870 N Lawnwood Cir Fort Pierce FL 34950-4828 Ph: (772) 467-3948 |
| NPI Number | 1649261215 |
|---|---|
| Provider Enumeration Date | 11/02/2005 |
| Last Update Date | 02/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649261215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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