Healthcare Provider Details

I. General information

NPI: 1700066586
Provider Name (Legal Business Name): HOSSEIN JOUKAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 N FLAGLER DR STE 6000
WEST PALM BEACH FL
33401-3416
US

IV. Provider business mailing address

1411 N FLAGLER DR STE 6000
WEST PALM BEACH FL
33401-3416
US

V. Phone/Fax

Practice location:
  • Phone: 561-659-6756
  • Fax: 561-659-8325
Mailing address:
  • Phone: 561-659-6756
  • Fax: 561-659-8325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME81042
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberME81042
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: