PAX CAMPUS, LLC


Address: 508 Lucerne Ave, Lake Worth, FL 33460-3819
Phone: 8444068956

PAX CAMPUS, LLC (NPI# 1093183972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093183972
Entity Type Organization
Organization Name PAX CAMPUS, LLC
Practice Address 508 Lucerne Ave
Lake Worth
FL 33460-3819
Practice Telephone 8444068956
Practice Fax Number 8662397439
Mailing Telephone 8444068956
Enumeration Date 2015-09-09
Last Update Date 2017-03-03
Authorized Official Name FREDDY MOLDT (MANAGER)
Authorized Official Telephone 5618593185
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
FL Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710335781 Pax Campus, LLC Clinic/Center 1105 N Federal Hwy, Boynton Beach, FL 33435-3228 2016-05-31

Office Location

Street Address 508 LUCERNE AVE
City LAKE WORTH
State FL
Zip Code 33460-3819

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700289188 Jessica Parks Counselor 508 Lucerne Ave, Lake Worth, FL 33460-3819 2014-09-30
1427679638 Jennifer A Babione Counselor 508 Lucerne Ave, Lake Worth, FL 33460-3819 2020-04-28
1104349075 Teresa Webb Counselor 508 Lucerne Ave, Lake Worth, FL 33460-3819 2017-07-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265069694 Soma Medical Center, P.a. Internal Medicine 330 South Dixie Hway, Lake Worth, FL 33460 2020-03-25
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1710542428 Paul Robert Ahr Psychologist 702 N. Lakeside Drive, Lake Worth Beach, FL 33460 2019-05-08
1548732985 Pickens Allison Gantt IIi Acupuncturist 1505 N Federal Hwy, Lake Worth, FL 33460 2018-12-26
1992297634 Awilda Theodore Homemaker 824a Lake Ave, #309, Lake Worth, FL 33460 2018-05-30
1326562646 Candy Marie Contrerez Behavior Technician 1306 S H St, Lake Worth, FL 33460 2017-07-28
1679003602 Sylvia Grant Registered Nurse 919 12th Ave S, Lake Worth, FL 33460 2017-06-13
1720510662 Jessica Montanez Technician, Other 1831 17th Court N, Lake Worth, FL 33460 2017-03-30
1629209630 Emilia Isaza Dentist 325 S. Dixie Hwy, Suite #5, Lake Worth, FL 33460 2009-08-07
1174767909 Cameron Bishop Acupuncturist 1505 North Federal Highway, Lake Worth, FL 33460 2009-04-23
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689123390 Center for Alcohol and Drug Studies, Inc. Clinic/Center 4887 Paetzold, Lake Worth, FL 33461-5530 2016-09-23
1780084400 Leap Intensive Outpatient Services LLC Clinic/Center 9664 Campi Dr, Lake Worth, FL 33467-6997 2014-08-29
1568887545 Nr Florida Associates LLC Clinic/Center 4020 Lake Worth Rd, Lake Worth, FL 33461-3918 2014-02-27
1386074151 Center for Alcohol and Drug Studies, Inc. Clinic/Center 3161 Prince Dr, Lake Worth, FL 33461-5534 2013-11-15
1659707792 Stay'n Alive, Inc. Clinic/Center 5649 Strawberry Lakes Cir, Lake Worth, FL 33463-6516 2013-09-20
1033542667 L.l.&r.'s Stepping Stones, LLC Clinic/Center 4037 Lakewood Rd, Lake Worth, FL 33461-3432 2013-08-19
1063707511 Total Recovery Now, Inc. Clinic/Center 1718 N Federal Hwy, Lake Worth, FL 33460-6643 2011-06-13
1114498565 Holistix Treatment Centers, LLC Clinic/Center 9935 Palomino Dr, Lake Worth, FL 33467-1014 2018-12-11
1932638541 Pegasus Behavioral Health Inc Clinic/Center 9935 Palomino Dr, Lake Worth, FL 33467-1014 2017-06-07
1043751050 Family Healthcare of Delray, Inc Clinic/Center 7100 S Military Trl, Suite 7126, Lake Worth, FL 33463-7812 2017-03-10
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Competitor

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City LAKE WORTH
Zip Code 33460

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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