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General NPI Number Information
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NPI Number | 1104045012
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Entity Type | Organization
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Legal Business Name | HEALTH CARE DISTRICT OF PALM BEACH COUNTY
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 4801 S CONGRESS AVE SUITE 101
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City | LAKE WORTH
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State | FL
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Zip | 33461
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Country | US
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Telephone | 561-209-2575
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Fax | 844-206-6437
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Provider Business Mailing Address
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Address Line | 1515 N FLAGLER DR STE 101
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3429
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Country | US
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Telephone | 561-659-1270
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Fax | 561-733-6663
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Authorized Official
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Title or Position | CEO
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Name | DARCY DAVIS
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Credential |
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Telephone | 561-804-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH21939
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License Number State | FL
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