| Florida Atlantic University | |
|
1650 Osceola Drive West Palm Beach FL 33409 | |
| (561) 803-8880 | |
| (877) 409-1795 |
| Full Name | Florida Atlantic University |
|---|---|
| Speciality | Clinic/Center |
| Location | 1650 Osceola Drive, West Palm Beach, Florida |
| Authorized Official Name and Position | Louisa Pontiroli Kelly (CEO) |
| Authorized Official Contact | 5618038880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Atlantic University 1650 Osceola Dr West Palm Beach FL 33409-5038 Ph: (561) 803-8880 | Florida Atlantic University 1650 Osceola Drive West Palm Beach FL 33409 Ph: (561) 803-8880 |
| NPI Number | 1093026619 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 01/05/2026 |
| Medicare PECOS PAC ID | 8921097171 |
|---|---|
| Medicare Enrollment ID | O20210715001845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093026619 | NPI | - | NPPES |
| C11027 | Other | FL | MEDICARE |
| C7MZP | Other | FL | LUCET |
| 127082701 | Medicaid | FL | |
| 002Z8 | Other | FL | BCBS |
| 127082700 | Medicaid | FL | |
| 681903 | Other | FL | FQHC MEDICARE 2021 FOR BOTH 1650 AND 720 LOCATIONS |
| K3331C | Other | FL | MEDICARE |
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