THE PAVILION AT HEALTHPARK LLC NPI 1972899987

NPI Information

THE PAVILION AT HEALTHPARK LLC is a psychiatric hospital in Fort Myers, FL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. THE PAVILION AT HEALTHPARK LLC NPI is 1972899987. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Royal Hospital.

The provider's business location address is:

9241 PARK ROYAL DRIVE
FORT MYERS, FL
ZIP 33908
Phone: (239) 985-2700
Fax: (239) 985-2790

The provider's authorized official is Brian P. Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 10D2036406 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2011 and was last updated on 8/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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