Healthcare Provider Details
I. General information
NPI: 1699668194
Provider Name (Legal Business Name): HIGHER LEARNING FOUNDATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2786 TENNIS CLUB DR APT 306
WEST PALM BEACH FL
33417-2894
US
IV. Provider business mailing address
2786 TENNIS CLUB DR APT 306
WEST PALM BEACH FL
33417-2894
US
V. Phone/Fax
- Phone: 561-827-7409
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QS0132X |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DARREN
WINGATE
Title or Position: OWNER
Credential:
Phone: 561-827-7409