P.B. Support Services Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

681937196 Issued in FL

Legal business name

P.B. SUPPORT SERVICES INC.

Practice address

5562 Timuquana Rd Ste 2
Jacksonville, FL 32210-8053

Phone

(904) 779-8918

Fax

(904) 371-9926

NPI assigned

Feb 1, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Leonard D Brewer

Title

Direct / Owner

Phone

(940) 779-8918

Specialties & licenses 4

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1053617514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5562 TIMUQUANA RD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108053",
            "telephone_number": "904-779-8918",
            "fax_number": "904-317-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5562 TIMUQUANA RD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108053",
            "telephone_number": "904-779-8918",
            "fax_number": "904-371-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.B. SUPPORT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECT / OWNER",
        "authorized_official_telephone_number": "940-779-8918",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "681937196",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "681937102",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "673923798",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "673923768",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681937102",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "673923768",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681937196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "673923798",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lenna D Ozgur, M.C.D., CCC-SLP
• Kara Marie Ozimkiewicz, CCC-SLP
• Laura L Ozimkovski, PA-C
• Kerem Ozturk, MD
• Mariel Alejandra Ozuna
• P&J Health Services LLC
• P&R Assisted Living LLC
• P7 Products Inc (P7 Hair Loss & Restoration Clinic)
• Eduardo R Paat Sr., LMFT
• Mark Paauw, MD

• Case Management Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.