| District Clinic Holdings Inc | |
|
7408 Lake Worth Rd Lake Worth FL 33467 | |
| (561) 642-1008 | |
| Not Available |
| Full Name | District Clinic Holdings Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7408 Lake Worth Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Darcy Davis (CEO) |
| Authorized Official Contact | 5618045885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| District Clinic Holdings Inc 1515 N Flagler Dr Ste 101 West Palm Beach FL 33401-3429 Ph: (561) 642-1008 | District Clinic Holdings Inc 7408 Lake Worth Rd Lake Worth FL 33467 Ph: (561) 642-1008 |
| NPI Number | 1184004590 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 03/10/2020 |
| Certification Date | 03/10/2020 |
| Medicare PECOS PAC ID | 4486876000 |
|---|---|
| Medicare Enrollment ID | O20161003000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184004590 | NPI | - | NPPES |
| 008037118 | Medicaid | FL | |
| 008037119 | Medicaid | FL |
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