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Organization
PBC PLUS LLC
Active
Organization
PBC PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY WATERS (CEO)
(561) 678-2652
Entity
Organization
Contact information
Practice address
7593 W BOYNTON BEACH BLVD STE 220, BOYNTON BEACH, FL 33437-6162
(561) 678-2652
Mailing address
7593 W BOYNTON BEACH BLVD STE 220, BOYNTON BEACH, FL 33437-6162
(561) 678-2652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Enumeration date
01/07/2014
Last updated
05/24/2024
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