FOUNDATIONS HEALTH CENTERS NPI 1851258776

NPI Information

  • NPI: 1851258776
  • Provider Name: FOUNDATIONS HEALTH CENTERS
  • Classification: Preventive Medicine - 2083A0300X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 1501 ROBERT J CONLAN BLVD NE STE 7
    PALM BAY, FL
    ZIP 32905
  • Phone: (321) 479-4083

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NPI Details

FOUNDATIONS HEALTH CENTERS is an addiction medicine preventive medicine in Palm Bay, FL. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. FOUNDATIONS HEALTH CENTERS NPI is 1851258776. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1501 ROBERT J CONLAN BLVD NE STE 7
PALM BAY, FL
ZIP 32905-559
Phone: (321) 479-4083
Fax: (321) 294-5036

The provider's authorized official is Christal Dickun .
The authorized official title is Owner, Ceo and has the following contact phone number (860) 204-1200.

The enumeration date for this NPI number is 1/5/2026 and was last updated on 1/5/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083A0300XPreventive MedicineAddiction MedicineYes

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: 11/21/2025

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