Healthcare Provider Details

I. General information

NPI: 1366914251
Provider Name (Legal Business Name): MONARCH HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2018
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 METROCENTRE BLVD STE 1
WEST PALM BEACH FL
33407-3100
US

IV. Provider business mailing address

2580 METROCENTRE BLVD STE 1
WEST PALM BEACH FL
33407-3100
US

V. Phone/Fax

Practice location:
  • Phone: 561-523-4589
  • Fax: 561-491-2602
Mailing address:
  • Phone: 561-523-4589
  • Fax: 561-491-2602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAMION BAKER
Title or Position: EXECUTIVE DIRECTOR/PRESIDENT
Credential:
Phone: 561-523-4589