Provider Demographics
NPI:1134535925
Name:PB DOCTORS GROUP, LLC
Entity type:Organization
Organization Name:PB DOCTORS GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-929-9263
Mailing Address - Street 1:141 NW 20TH STREET
Mailing Address - Street 2:SUITE F-6
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7966
Mailing Address - Country:US
Mailing Address - Phone:561-210-4994
Mailing Address - Fax:954-905-4988
Practice Address - Street 1:141 NW 20TH STREET
Practice Address - Street 2:SUITE F-6
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7966
Practice Address - Country:US
Practice Address - Phone:561-212-0380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 291U00000X
FLME830142084P0805X
NY112386207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty