| Palm Beach County Fire Fighters Health Clinic Llc | |
|
7240 7th Pl N West Palm Beach FL 33411-3801 | |
| (561) 969-6663 | |
| (561) 966-7760 |
| Full Name | Palm Beach County Fire Fighters Health Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7240 7th Pl N, West Palm Beach, Florida |
| Authorized Official Name and Position | Michael Sedgwick (ADMINISTRATIVE MANAGER) |
| Authorized Official Contact | 5619696663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach County Fire Fighters Health Clinic Llc 7240 7th Pl N West Palm Beach FL 33411-3801 Ph: (561) 969-6663 | Palm Beach County Fire Fighters Health Clinic Llc 7240 7th Pl N West Palm Beach FL 33411-3801 Ph: (561) 969-6663 |
| NPI Number | 1174949978 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 01/21/2020 |
| Medicare PECOS PAC ID | 6406133727 |
|---|---|
| Medicare Enrollment ID | O20170515000874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174949978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | John F Villa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457328205 PECOS PAC ID: 2365424207 Enrollment ID: I20050505000872 |
| Provider Name | Kellie Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013026517 PECOS PAC ID: 2769531987 Enrollment ID: I20090519000203 |
| Provider Name | Dhrupa Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093115339 PECOS PAC ID: 4284958075 Enrollment ID: I20150127001813 |
| Provider Name | Lance Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124430152 PECOS PAC ID: 1951621879 Enrollment ID: I20150518000301 |
| Provider Name | Amanda M Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669912606 PECOS PAC ID: 7517290729 Enrollment ID: I20190603002110 |
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