PB OUTPATIENT SERVICES FLORIDA LLC NPI 1255818639

NPI Information

  • NPI: 1255818639
  • Provider Name: PB OUTPATIENT SERVICES FLORIDA, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: LUCIDA TREATMENT CENTER
  • Address: 112 N OAK ST STE 109
    LANTANA, FL
    ZIP 33462
  • Phone: (615) 567-7252

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NPI Details

PB OUTPATIENT SERVICES FLORIDA, LLC is a substance abuse rehabilitation facility in Lantana, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PB OUTPATIENT SERVICES FLORIDA, LLC NPI is 1255818639. The provider is registered as an organization entity type.
The provider Is Doing Business As Lucida Treatment Center.

The provider's business location address is:

112 N OAK ST STE 109
LANTANA, FL
ZIP 33462-260
Phone: (615) 567-7252

The provider's authorized official is Robert S. Waggener .
The authorized official title is Chief Executive Officer and has the following contact phone number (615) 567-7253.

The enumeration date for this NPI number is 7/27/2018 and was last updated on 12/27/2021.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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