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FLORIDA COMMUNITY HEALTH CENTERS INC NPI 1043260490


NPI Information

NPI: 1043260490
Provider Name: FLORIDA COMMUNITY HEALTH CENTERS INC

Other Name: LAKESHORE PEDIATRICS ANNEX

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4450 S TIFFANY DR
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 844-9443
Get Directions

FLORIDA COMMUNITY HEALTH CENTERS INC is a pediatrics in West Palm Beach, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FLORIDA COMMUNITY HEALTH CENTERS INC NPI is 1043260490. The provider is registered as an organization entity type.
The provider Other Name Is Lakeshore Pediatrics Annex.

The provider's business location address is:

4450 S TIFFANY DR
WEST PALM BEACH, FL
ZIP 33407-241
Phone: (561) 844-9443
Fax: (561) 844-1013

The provider's authorized official is Michael F Gervasi .
The authorized official title is President & Ceo and has the following contact phone number (561) 844-9443.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 9/6/2011.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
2208000000XPediatricsYes

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
1029574414MEDICAIDFLORIDA
2101855MEDICARE OSCAR/CERTIFICATIONFLORIDA
300589CMEDICARE PINFLORIDA
4029574415MEDICAIDFLORIDA

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

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