Healthcare Provider Details

I. General information

NPI: 1467458307
Provider Name (Legal Business Name): THE HEALTH CARE DISTRICT OF PALM BEACH COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 DATURA ST STE 401
WEST PALM BEACH FL
33401-5417
US

IV. Provider business mailing address

324 DATURA ST STE 401
WEST PALM BEACH FL
33401-5417
US

V. Phone/Fax

Practice location:
  • Phone: 561-659-1270
  • Fax: 561-671-4669
Mailing address:
  • Phone: 561-659-1270
  • Fax: 561-671-4669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number StateFL

VIII. Authorized Official

Name: RONALD J WIEWORA
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 561-659-1270