Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peace River Center for Personal Development Inc

Organization Psychiatry Physician · NPI 1104572551

Peace River Center for Personal Development Inc is a Psychiatry Physician in Bartow, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1255 Golfview Ave
Bartow, FL 33830-6736
Phone: (863) 519-0575
Fax: (863) 582-9251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1104572551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jo Deck — Credentialing Specialist · (863) 519-0575
Other names Peace River Center; Peace River Center
NPI enumeratedFebruary 24, 2022
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023
Mailing addressPo Box 1559, Bartow, FL 33831-1559

Other providers in Bartow