Healthcare Provider Details

I. General information

NPI: 1174949978
Provider Name (Legal Business Name): PALM BEACH COUNTY FIRE FIGHTERS HEALTH CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2014
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7240 7TH PL N
WEST PALM BEACH FL
33411-3801
US

IV. Provider business mailing address

7240 7TH PL N
WEST PALM BEACH FL
33411-3801
US

V. Phone/Fax

Practice location:
  • Phone: 561-969-6663
  • Fax: 561-966-7760
Mailing address:
  • Phone: 561-969-6663
  • Fax: 561-966-7760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. HEATHER COLEMAN
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 561-969-6663