Peace River Center For Personal Development Inc
LBN: Peace River Center For Personal Development Inc
Peace River Center For Personal Development Inc is an health care organization with primary practice located at 1831 Gilmore Ave , Lakeland FL 33805-3017. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty.
Peace River Center For Personal Development Inc can be contacted via phone (863) 519-0575, or through Deck, Jo via phone (863) 519-0575.
Contact Information
Primary practice address
1831 Gilmore Ave
Lakeland FL 33805-3017
Phone: (863) 519-0575
Fax: (863) 582-9251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X |
Profile Details
| NPI number | 1285380642 |
|---|---|
| LBN Legal business name | Peace River Center For Personal Development Inc |
| DBA Doing business as | |
| Authorized official | Deck, Jo BA, CPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 24th, 2022 |
| Last updated | Feb 24th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285380642 | NPPES |
| Florida | MEDICAID | 060310422 |
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