# PBC PLUS LLC

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

## Provider details

- **NPI number:** 1316369531
- **Authorized official:** CASEY WATERS (CEO)
- **Authorized official phone:** (561) 678-2652

## Contact information

- **Practice address:** 7593 W BOYNTON BEACH BLVD STE 220, BOYNTON BEACH, FL 33437-6162
- **Practice address phone:** (561) 678-2652
- **Mailing address:** 7593 W BOYNTON BEACH BLVD STE 220, BOYNTON BEACH, FL 33437-6162
- **Mailing address phone:** (561) 678-2652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2014
- **Last updated:** 05/24/2024