| Healey Center Physician Practice | |
|
5101 W Blue Heron Blvd Riviera Beach FL 33418 | |
| (561) 842-6111 | |
| Not Available |
| Full Name | Healey Center Physician Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 5101 W Blue Heron Blvd, Riviera Beach, 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 |
|---|---|
| Healey Center Physician Practice 1515 N Flagler Dr Ste 101 West Palm Beach FL 33401-3429 Ph: (561) 659-1270 | Healey Center Physician Practice 5101 W Blue Heron Blvd Riviera Beach FL 33418 Ph: (561) 842-6111 |
| NPI Number | 1952816365 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 03/10/2020 |
| Medicare PECOS PAC ID | 6507955432 |
|---|---|
| Medicare Enrollment ID | O20130524000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952816365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kathleen A Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376699017 PECOS PAC ID: 4981681939 Enrollment ID: I20040707000758 |
| Provider Name | Kevin D Inwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205807609 PECOS PAC ID: 2365591799 Enrollment ID: I20090514000224 |
| Provider Name | Minh D Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669618914 PECOS PAC ID: 4880671502 Enrollment ID: I20111012000728 |
| Provider Name | Laverne P Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730433087 PECOS PAC ID: 3779728597 Enrollment ID: I20130327000592 |
| Provider Name | Edzer Desarmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669002382 PECOS PAC ID: 7911327762 Enrollment ID: I20201015002071 |
| Provider Name | Yvette Angella Peart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205475050 PECOS PAC ID: 6002201084 Enrollment ID: I20230808001605 |
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