| Pemhs, Inc. | |
|
11254 58th St Pinellas Park FL 33782-2213 | |
| (727) 362-4318 | |
| (727) 545-6464 |
| Full Name | Pemhs, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11254 58th St, Pinellas Park, Florida |
| Authorized Official Name and Position | Jo M Watson (BILLING SPECIALIST) |
| Authorized Official Contact | 7243624318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pemhs, Inc. 11254 58th St Pinellas Park FL 33782-2213 Ph: (727) 362-4318 | Pemhs, Inc. 11254 58th St Pinellas Park FL 33782-2213 Ph: (727) 362-4318 |
| NPI Number | 1245395243 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 11/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245395243 | NPI | - | NPPES |
| 060522101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PH13594 (Florida) | Primary |
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