# PBT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PBT, PBT.LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598489478
- **Authorized official:** CARANETTA GODBOLT (OWNER)
- **Authorized official phone:** (689) 271-5583

## Contact information

- **Practice address:** 2404 WILLOW PARK CT, KISSIMMEE, FL 34758-5007
- **Practice address phone:** (689) 271-5583
- **Mailing address:** 2404 WILLOW PARK CT, KISSIMMEE, FL 34758-5007
- **Mailing address phone:** (689) 271-5583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2022
- **Last updated:** 10/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | NO | — | FL |