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	207RA0401X	Addiction Medicine (Internal Medicine) Physician	ME69471	FL

General Provider Information

NPI Number	:	1518360726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTH CARE OF DELRAY, INC.

Provider Business Mailing Address
First Line	:	7100 S MILITARY TRL
Second Line	:	SUITE 7126
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7812
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 S MILITARY TRL
Second Line	:	SUITE 7126
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7812
Country	:	US
Telephone Number	:	561-822-3167
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. SERGE ALEXANDRE
Credential	:	M.D.
Telephone Number	:	561-613-5450

Provider Enumeration Date	:	10/01/2014
Last Update Date	:	10/01/2014

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