MEDICARE: FOUNDCARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QF0400X	Federally Qualified Health Center (FQHC)
2	208D00000X	General Practice Physician
3	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083622237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNDCARE, INC.

Provider Business Mailing Address
First Line	:	2330 S CONGRESS AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-7608
Country	:	US
Telephone Number	:	561-432-5849
Fax Number	:	561-868-5652

Provider Business Practice Location Address
First Line	:	5205 GREENWOOD AVE STE 150
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2406
Country	:	US
Telephone Number	:	561-848-8701
Fax Number	:	561-848-9059

Authorized Official
Title or Position	:	CEO
Name	:	CHRISTOPHER FRANCIS IRIZARRY
Credential	:
Telephone Number	:	561-432-7901

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	12/17/2024

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Directions to “FOUNDCARE, INC. ” Practice Location

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