Healthcare Provider Details

I. General information

NPI: 1215182712
Provider Name (Legal Business Name): FOUNDCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 S CONGRESS AVE
PALM SPRINGS FL
33406-7608
US

IV. Provider business mailing address

2330 S CONGRESS AVE FL 1
WEST PALM BEACH FL
33406-7608
US

V. Phone/Fax

Practice location:
  • Phone: 561-472-9160
  • Fax: 561-868-5652
Mailing address:
  • Phone: 561-432-5849
  • Fax: 561-432-9732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License NumberHCC7953
License Number StateFL

VIII. Authorized Official

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