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NPI Code Detail

MEDICARE: HEALTH CARE DISTRICT OF PALM BEACH COUNTY

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
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPH13006FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12004123OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558580464
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 : 200 CONGRESS PARK DR STE 100
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-4618
Country : US
Telephone Number : 561-209-2570
Fax Number : 844-206-6435
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DARCY DAVIS
Credential : PHARMD CPH
Telephone Number : 561-804-5885
Provider Enumeration Date : 04/25/2007
Last Update Date : 12/20/2024

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1093296360 — WALTER MARIANO THAMSTEN LMHC
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1356051650 — JEREMY KADEEM BROWN MBA, LMHC,NCC
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Directions to “HEALTH CARE DISTRICT OF PALM BEACH COUNTY ” Practice Location

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