NPI 1649261215

Lawnwood Pavilion Physician Services LLC

Organisation Psychiatry Physician Fort Pierce, FL

Practice location

Address: 1870 N Lawnwood Cir, Fort Pierce, FL 34950-4828
Phone: (772) 467-3948
Fax: (772) 467-3953

Authorised official

Name: Patrick Birmingham
Title: Director
Phone: (615) 373-7625

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Florida →

Registry record

NPI: 1649261215
Entity type: Organization
NPI issued: 2 Nov 2005
Record last updated: 29 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.