Organization
PBH PROFESSIONAL GROUP, P.A.
Active
Other names
PATH 5Palms Professional Group
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA SADRI-AZARBAYEJANI D.O. (PRESIDENT AND SECRETARY)
(413) 522-9246
Entity
Organization
Contact information
Practice address
1200 W GRANADA BLVD STE 1A, ORMOND BEACH, FL 32174-8157
(386) 506-8110
(386) 463-2170
Mailing address
103 POWELL CT STE 100, BRENTWOOD, TN 37027-5050
(615) 308-7871
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us