PBJ Medical LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PBJ MEDICAL LLC

Practice address

628 Maitland Ave
Altamonte Springs, FL 32701-6834

Phone

(800) 485-7962

NPI assigned

May 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Pruitt, MD, PHDNPI 1336554005

Title

Lab Director

Phone

(800) 485-7962

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Pruitt V, PH.D

  • Pharmacist
  • Winter Haven, FL
  • NPI 1336554005
  NPD Authorized official
• Dwayne L Jones Sr.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Bartow, FL
  • NPI 1548532385
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1033900451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 DR PHILLIPS BLVD STE 50",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195420",
            "telephone_number": "800-485-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016834",
            "telephone_number": "800-485-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBJ MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "800-485-7962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urvish K Patel, RPH
• Nalini J Patil
• Paula Paton, ARNP
• Patricia Govan Homemaker and Companion Service LLC
• Jeree Paul, APRN
• Leanna Pearce, BCBA
• Sharon Pearcy
• Pearle Vision Inc.
• Ekaterina Peart, AP
• Pebble Counseling, LLC

• Clinical Medical Laboratory in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.