PBND Care Inc

Organization Active NPI Family Medicine Physician · Lake Worth, FL

NPI 1851664536 · NPPES record last updated Feb 11, 2012

Key facts

NPI
1851664536
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
ME0075836 (FL)
Legal business name
PBND CARE INC
Practice address
4460 Carver St
Lake Worth, FL 33461-2713
Phone
(786) 247-0057
NPI assigned
Feb 11, 2012
Organization subpart
No

Authorized official

Name
Alfredo J Morffi
Title
President
Phone
(786) 247-0057

National Provider Directory

Locations

4460 Carver St
Lake Worth, FL 33461
Phone (786) 247-0057

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X ME0075836 FL Yes

Addresses

Primary practice location

4460 Carver St
Lake Worth, FL 33461-2713

Mailing address

4460 Carver St
Lake Worth, FL 33461-2713
Phone (786) 247-0057

Other identifiers

IdentifierTypeStateIssuer
4460OtherFLCOMERCIAL INS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 11, 2012.

{
    "created_epoch": "1328918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328918400000",
    "number": "1851664536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 CARVER ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334612713",
            "telephone_number": "786-247-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 CARVER ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334612713",
            "telephone_number": "786-247-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-11",
        "last_updated": "2012-02-11",
        "status": "A",
        "authorized_official_last_name": "MORFFI",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-247-0057"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0075836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMERCIAL INS",
            "identifier": "4460",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

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Sources for this page

Verify at the official NPI Registry.