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Organization

LAWNWOOD PAVILION PHYSICIAN SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK BIRMINGHAM (DIRECTOR)
(615) 373-7625
Entity
Organization

Contact information

Practice address
1870 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4828
(772) 467-3948
(772) 467-3953
Mailing address
1870 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4828
(772) 467-3948
(772) 467-3953

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
11/02/2005
Last updated
02/29/2008
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