1497122550 NPI number — HEALTH CARE DISTRICT OF PALM BEACH COUNTY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497122550 NPI number — HEALTH CARE DISTRICT OF PALM BEACH COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH CARE DISTRICT OF PALM BEACH COUNTY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497122550
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1515 N FLAGLER DR STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST PALM BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33401-3429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-659-1270
Provider Business Mailing Address Fax Number:
561-733-6663

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7408 LAKE WORTH RD
Provider Second Line Business Practice Location Address:
SUITE 700-P
Provider Business Practice Location Address City Name:
LAKE WORTH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33467-2502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-209-2571
Provider Business Practice Location Address Fax Number:
844-206-6439
Provider Enumeration Date:
08/25/2015

Additional Information

Authorized Official

Authorized Official Last Name:
DAVIS
Authorized Official First Name:
DARCY
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
561-804-5885

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  PH29347 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com