| Organization Name: | PK HEALTH SERVICES LLC |
| NPI Number: | 1063439750 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH LEE PIERCE (MANAGING MEMBER) |
| Mailing Address: | 4113 Little Rd Unit 103 New Port Richey |
| State: | FL US |
| Postal Code: | 346551716 |
| Phone Number: | 7273762880 |
| Fax Number: | 7278169745 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 02/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | ARNP1163702 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |