MEDICARE: CENTER FOR FAMILY HEALTH CARE 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	363LF0000X	Family Nurse Practitioner	ARNP 1356112	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AC299	OTHER	FL	MEDICARE GROUP NUMBER

General Provider Information

NPI Number	:	1619936374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR FAMILY HEALTH CARE INC

Provider Business Mailing Address
First Line	:	PO BOX 30278
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33420-0278
Country	:	US
Telephone Number	:	561-776-9963
Fax Number	:	561-776-7334

Provider Business Practice Location Address
First Line	:	5080 PGA BLVD.
Second Line	:	SUITE 201
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418
Country	:	US
Telephone Number	:	561-776-9963
Fax Number	:	561-776-7334

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MRS. JOYCE ELSIE DEFRANCESCO
Credential	:	ARNP
Telephone Number	:	772-475-9045

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	08/07/2007

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Directions to “CENTER FOR FAMILY HEALTH CARE INC ” Practice Location

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