MEDICARE: ON POINT HEALTH MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1417593930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON POINT HEALTH MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1277 ROSEGATE BLVD
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-1821
Country	:	US
Telephone Number	:	561-307-4379
Fax Number	:

Provider Business Practice Location Address
First Line	:	4431 WESTROADS DR
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33407-1207
Country	:	US
Telephone Number	:	561-452-8054
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	GINA VICTOME
Credential	:
Telephone Number	:	561-307-4379

Provider Enumeration Date	:	11/19/2019
Last Update Date	:	06/24/2020

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Directions to “ON POINT HEALTH MEDICAL CENTER ” Practice Location

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