MEDICARE: HEALTH CARE DISTRICT OF PALM BEACH COUNTY

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	3336C0003X	Community/Retail Pharmacy	PH29347	FL

General Provider Information

NPI Number	:	1497122550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE DISTRICT OF PALM BEACH COUNTY

Provider Business Mailing Address
First Line	:	1515 N FLAGLER DR STE 101
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3429
Country	:	US
Telephone Number	:	561-659-1270
Fax Number	:	561-733-6663

Provider Business Practice Location Address
First Line	:	7408 LAKE WORTH RD
Second Line	:	SUITE 700-P
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2502
Country	:	US
Telephone Number	:	561-209-2571
Fax Number	:	844-206-6439

Authorized Official
Title or Position	:	CEO
Name	:	DARCY J DAVIS
Credential	:
Telephone Number	:	561-804-5885

Provider Enumeration Date	:	08/25/2015
Last Update Date	:	12/20/2024

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