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NPI Profile for PBH PROFESSIONAL GROUP PA in ORMOND BEACH, FL.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry | |
Registered Nurse |
163W00000X |
| NPI Number | 1912670647 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/28/2021 | |
| Last updated | 07/28/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PBH PROFESSIONAL GROUP, P.A.
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PBH PROFESSIONAL GROUP, P.A.