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PBH PROFESSIONAL GROUP, P.A.
NPI 1912670647
Preventive Medicine - Addiction Medicine in Ormond Beach, FL

Active since July 28, 2021
1200 W GRANADA BLVD STE 1A, ORMOND BEACH, FL 32174(386) 506-8110(386) 463-2170 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pbh Professional Group, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PBH PROFESSIONAL GROUP, P.A. (NPI 1912670647), doing business as Path 5palms Professional Group, is a healthcare organization registered as an addiction medicine in Ormond Beach, Florida and active in the NPI registry since July 2021. The organization lists Flora Sadri-azarbayejani, President And Secretary, as its authorized official.

NPPES Registry Identity

NPI1912670647
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NamePBH PROFESSIONAL GROUP, P.A.
Location Address1200 W GRANADA BLVD STE 1AOrmond Beach, FL 32174-8157
Mailing Address103 Powell Ct Ste 100Brentwood, TN 37027-5050 · (615) 308-7871
Phone(386) 506-8110
Fax(386) 463-2170
Organization SubpartNo
Authorized OfficialFlora Sadri-azarbayejaniPresident And Secretary · (413) 522-9246
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1912670647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1200 W GRANADA BLVD STE 1A, Ormond Beach, FL 32174
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Other Names 1

Doing Business AsPath 5palms Professional Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pbh Professional Group, P.A.'s NPI number?

The NPI number for Pbh Professional Group, P.A. is 1912670647. It was assigned to this organization in the NPPES registry on July 28, 2021.

Where is Pbh Professional Group, P.A. located?

Pbh Professional Group, P.A. is located at 1200 W Granada Blvd Ste 1A, Ormond Beach, FL 32174. The listed phone number is (386) 506-8110.

What is Pbh Professional Group, P.A.'s specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Pbh Professional Group, P.A. was last updated on July 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.