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HEALTH CARE DISTRICT OF PALM BEACH COUNTY NPI 1407022601


NPI Information

NPI: 1407022601
Provider Name: HEALTH CARE DISTRICT OF PALM BEACH COUNTY

Doing Business As: LAKESIDE PHYSICIAN PRACTICE

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
39200 HOOKER HWY
BELLE GLADE, FL
ZIP 33430
Phone: (561) 996-6571
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HEALTH CARE DISTRICT OF PALM BEACH COUNTY is a surgery in Belle Glade, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. HEALTH CARE DISTRICT OF PALM BEACH COUNTY NPI is 1407022601. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lakeside Physician Practice.

The provider's business location address is:

39200 HOOKER HWY
BELLE GLADE, FL
ZIP 33430
Phone: (561) 996-6571
Fax: (561) 996-2898

The provider's authorized official is Darcy J. Davis .
The authorized official title is Ceo and has the following contact phone number (561) 659-1270.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 11/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryME88565FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001218400MEDICAIDFLORIDA
211487OTHERFLORIDABCBS OF FL
3270147200MEDICAIDFLORIDA
4273098700MEDICAIDFLORIDA
5275845800MEDICAIDFLORIDA
6277386400MEDICAIDFLORIDA
796470OTHERFLORIDABCBS OF FL
8043885500MEDICAIDFLORIDA
9048319200MEDICAIDFLORIDA
1007172OTHERFLORIDABCBS OF FL
11257949900MEDICAIDFLORIDA
12352226306OTHERFLORIDAUNHC
1350283OTHERFLORIDABCBS OF FL
1461206OTHERFLORIDABCBS OF FL
1527017OTHERFLORIDABCBS OF FL
1627628OTHERFLORIDABCBS OF FL
1731944OTHERFLORIDABCBS OF FL
18271390000MEDICAIDFLORIDA
19374891000MEDICAIDFLORIDA
2023945OTHERFLORIDABCBS OF FL
21000353300MEDICAIDFLORIDA
22066569000MEDICAIDFLORIDA
23145PHOTHERFLORIDABCBS OF FL
24255840800MEDICAIDFLORIDA
25263720100MEDICAIDFLORIDA
2650791OTHERFLORIDABCBS OF FL
2757748OTHERFLORIDABCBS OF FL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.