Healthcare Provider Details

I. General information

NPI: 1023474244
Provider Name (Legal Business Name): FOUNDCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2016
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 US HIGHWAY 1 SUITE 120
NORTH PALM BEACH FL
33408-3830
US

IV. Provider business mailing address

2330 S CONGRESS AVE
PALM SPRINGS FL
33406-7608
US

V. Phone/Fax

Practice location:
  • Phone: 561-776-8300
  • Fax: 561-776-0727
Mailing address:
  • Phone: 561-432-5849
  • Fax: 561-868-5652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER FRANCIS IRIZARRY
Title or Position: CEO
Credential:
Phone: 561-432-7901