MEDICARE: FAMILY HEALTH CARE OF DELRAY, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME69471	FL

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	:	1386680932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTH CARE OF DELRAY, INC.

Provider Business Mailing Address
First Line	:	1483 S. CONGRESS AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445
Country	:	US
Telephone Number	:	561-276-8444
Fax Number	:	561-276-8805

Provider Business Practice Location Address
First Line	:	1483 S CONGRESS AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6378
Country	:	US
Telephone Number	:	561-276-8594
Fax Number	:	561-276-8805

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. SERGE LEFEVRE ALEXANDRE
Credential	:	M.D.
Telephone Number	:	561-276-8444

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	03/14/2014

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