Provider Demographics
NPI:1467083600
Name:PFLC, LLC
Entity Type:Organization
Organization Name:PFLC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CENTER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-879-1100
Mailing Address - Street 1:6585 ROCHESTER RD STE 103
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-1363
Mailing Address - Country:US
Mailing Address - Phone:248-879-1100
Mailing Address - Fax:
Practice Address - Street 1:6585 ROCHESTER RD STE 103
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-1363
Practice Address - Country:US
Practice Address - Phone:248-879-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty