P.B. & R'S ENTERPRISES LLC NPI 1396014536

NPI Information

  • NPI: 1396014536
  • Provider Name: P.B. & R'S ENTERPRISES LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: PRANA BLU MEDSPA
  • Address: 1200 S HIGHLAND AVE
    SUITE 'B'
    CLEARWATER, FL
    ZIP 33756
  • Phone: (727) 330-7733

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NPI Details

P.B. & R'S ENTERPRISES LLC is a primary care clinic center in Clearwater, FL. P.B. & R'S ENTERPRISES LLC NPI is 1396014536. The provider is registered as an organization entity type.
The provider Is Doing Business As Prana Blu Medspa.

The provider's business location address is:

1200 S HIGHLAND AVE
SUITE 'B'
CLEARWATER, FL
ZIP 33756-334
Phone: (727) 330-7733
Fax: (727) 447-6008

The provider's authorized official is Bethzali Del C. Phillips .
The authorized official title is Managing Memeber and has the following contact phone number (727) 330-7733.

The enumeration date for this NPI number is 12/16/2011 and was last updated on 12/16/2011.

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
1261QP2300XClinic/CenterPrimary CareME86204FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11851697056OTHERFLORIDAPROVIDER NPI
2P00945853OTHERFLORIDAPROVIDER PTAN
329118XMEDICARE PINFLORIDA
4278958500MEDICAIDFLORIDA

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: 3/30/2025

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