Provider Demographics
NPI:1851664536
Name:PBND CARE INC
Entity Type:Organization
Organization Name:PBND CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORFFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-247-0057
Mailing Address - Street 1:4460 CARVER ST
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2713
Mailing Address - Country:US
Mailing Address - Phone:786-247-0057
Mailing Address - Fax:
Practice Address - Street 1:4460 CARVER ST
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-2713
Practice Address - Country:US
Practice Address - Phone:786-247-0057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-11
Last Update Date:2012-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0075836207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4460OtherCOMERCIAL INS