Healthcare Provider Details

I. General information

NPI: 1215747431
Provider Name (Legal Business Name): FOUNDCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 BROADWAY STE A
RIVIERA BEACH FL
33404-2331
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 561-432-5849
  • Fax: 561-283-0677
Mailing address:
  • Phone: 561-432-5849
  • Fax: 561-283-0677

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