Provider Demographics
NPI:1386894871
Name:PB SERVICE POOL, INC.
Entity type:Organization
Organization Name:PB SERVICE POOL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-887-2659
Mailing Address - Street 1:1051 W 29TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-5057
Mailing Address - Country:US
Mailing Address - Phone:305-887-2659
Mailing Address - Fax:305-887-2677
Practice Address - Street 1:1051 W 29TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5057
Practice Address - Country:US
Practice Address - Phone:305-887-2659
Practice Address - Fax:305-887-2677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health