Healthcare Provider Details

I. General information

NPI: 1598922627
Provider Name (Legal Business Name): PALM BEACH COUNTY HEALTH DEPT.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 05/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 S CONGRESS AVE
DELRAY BEACH FL
33445-4616
US

IV. Provider business mailing address

19475 CEDAR GLEN DR
BOCA RATON FL
33434-5132
US

V. Phone/Fax

Practice location:
  • Phone: 561-274-3141
  • Fax:
Mailing address:
  • Phone: 407-488-0280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License NumberME 27363
License Number StateFL

VIII. Authorized Official

Name: DR. KENNETH DOLLINGER
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 407-488-0280