Healthcare Provider Details

I. General information

NPI: 1518360726
Provider Name (Legal Business Name): FAMILY HEALTH CARE OF DELRAY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 10/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 S MILITARY TRL SUITE 7126
LAKE WORTH FL
33463-7812
US

IV. Provider business mailing address

7100 S MILITARY TRL SUITE 7126
LAKE WORTH FL
33463-7812
US

V. Phone/Fax

Practice location:
  • Phone: 561-822-3167
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberME69471
License Number StateFL

VIII. Authorized Official

Name: DR. SERGE ALEXANDRE
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 561-613-5450