# P.B. SUPPORT SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053617514
- **Authorized official:** MR. LEONARD D BREWER (DIRECT / OWNER)
- **Authorized official phone:** (940) 779-8918

## Contact information

- **Practice address:** 5562 TIMUQUANA RD STE 2, JACKSONVILLE, FL 32210-8053
- **Practice address phone:** (904) 779-8918
- **Practice address fax:** (904) 371-9926
- **Mailing address:** 5562 TIMUQUANA RD STE 2, JACKSONVILLE, FL 32210-8053
- **Mailing address phone:** (904) 779-8918
- **Mailing address fax:** (904) 317-9926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 673923768 | FL | — |
| 251B00000X | Case Management Agency | 673923798 | FL | — |
| 251B00000X | Case Management Agency | 681937102 | FL | — |
| 251B00000X | Case Management Agency | 681937196 | FL | Yes |

## Other

- **Enumeration date:** 02/01/2011
- **Last updated:** 02/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 673923768 | — | FL |
| 05 | — | 673923798 | — | FL |
| 05 | — | 681937102 | — | FL |
| 05 | — | 681937196 | — | FL |