| Pbh Professional Group, P.a. | |
|
1200 W Granada Blvd Ste 1a Ormond Beach FL 32174-8157 | |
| (386) 506-8110 | |
| (386) 463-2170 |
| Full Name | Pbh Professional Group, P.a. |
|---|---|
| Speciality | Preventive Medicine - Addiction Medicine |
| Location | 1200 W Granada Blvd Ste 1a, Ormond Beach, Florida |
| Authorized Official Name and Position | Flora Sadri-azarbayejani (PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 4135229246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pbh Professional Group, P.a. 103 Powell Ct Ste 100 Brentwood TN 37027-5050 Ph: (615) 308-7871 | Pbh Professional Group, P.a. 1200 W Granada Blvd Ste 1a Ormond Beach FL 32174-8157 Ph: (386) 506-8110 |
| NPI Number | 1912670647 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912670647 | NPI | - | NPPES |
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