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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
FL | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710335781 | Pax Campus, LLC | Clinic/Center | 1105 N Federal Hwy, Boynton Beach, FL 33435-3228 | 2016-05-31 |
Street Address |
508 LUCERNE AVE |
City | LAKE WORTH |
State | FL |
Zip Code | 33460-3819 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265069694 | Soma Medical Center, P.a. | Internal Medicine | 330 South Dixie Hway, Lake Worth, FL 33460 | 2020-03-25 |
1659920072 | Dr G's Pharmacy, Inc | Pharmacy | 127 N Dixie Highway, Lake Worth, FL 33460 | 2019-09-09 |
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 |
Find all providers in zip 33460 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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 |
Find all providers in LAKE WORTH |
City | LAKE WORTH |
Zip Code | 33460 |
Please comment or provide details below to improve the information on PAX CAMPUS, LLC.
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.