DISTRICT CLINIC HOLDINGS INC (NPI# 1184004590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184004590 |
Entity Type | Organization |
Organization Name | DISTRICT CLINIC HOLDINGS INC |
Practice Address |
7408 Lake Worth Rd Lake Worth FL 33467 |
Mailing Address |
1515 N Flagler Dr Ste 101 West Palm Beach FL 33401-3429 |
Practice Telephone | 5616421008 |
Mailing Telephone | 5616421008 |
Enumeration Date | 2015-06-02 |
Last Update Date | 2020-03-10 |
Authorized Official Name | DARCY DAVIS (CEO) |
Authorized Official Telephone | 5618045885 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 008037119 | 05 | |
FL | 008037118 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780155200 | District Clinic Holdings Inc | Clinic/Center | 2151 N. 45th St Ste 204, West Palm Beach, FL 33407-2009 | 2018-12-10 |
1720474075 | District Clinic Holdings Inc | Clinic/Center | 38754 State Rd 80, Belle Glade, FL 33430 | 2015-04-14 |
1427593896 | District Clinic Holdings Inc | Clinic/Center | 411 W Indiantown Rd, Jupiter, FL 33458 | 2016-12-21 |
1225573694 | District Clinic Holdings Inc | Clinic/Center | 23123 State Road 7, Suite 108, Boca Raton, FL 33428 | 2016-12-21 |
1427442136 | District Clinic Holdings Inc | Clinic/Center | 1000 45th St, West Palm Beach, FL 33407 | 2015-03-20 |
1376934521 | District Clinic Holdings Inc | Clinic/Center | 1041 45th St, Suite 100, West Palm Beach, FL 33407 | 2015-02-10 |
1477890267 | District Clinic Holdings Inc | Clinic/Center | 225 S Congress Ave, Delray Beach, FL 33445 | 2013-01-14 |
1720325517 | District Clinic Holdings Inc | Clinic/Center | 1250 Southwinds Dr, Lantana, FL 33462 | 2013-01-14 |
1679810469 | District Clinic Holdings Inc | Clinic/Center | 1150 45th St, West Palm Beach, FL 33407 | 2013-01-14 |
1124373113 | District Clinic Holdings Inc | Clinic/Center | 941 Se 1st St, Belle Glade, FL 33430 | 2012-07-17 |
Street Address |
7408 LAKE WORTH RD |
City | LAKE WORTH |
State | FL |
Zip Code | 33467 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871514307 | Jeffrey Lloyd Katzell | Specialist | 7408 Lake Worth Rd, Suite 100, Lake Worth, FL 33467-2531 | 2006-07-21 |
1700313335 | Jose Francisco Lopez | Specialist/Technologist, Other | 7408 Lake Worth Rd, Lake Worth, FL 33467-2502 | 2017-05-14 |
1669914164 | Jennifer Casanova | Nurse Practitioner | 7408 Lake Worth Rd, Lake Worth, FL 33467-2502 | 2016-11-15 |
1497122550 | Health Care District of Palm Beach County | Pharmacy | 7408 Lake Worth Rd, Suite 700-p, Lake Worth, FL 33467-2502 | 2015-08-25 |
1588062954 | Eero Arviid Laukkanen | Physical Therapist | 7408 Lake Worth Rd, 500, Lake Worth, FL 33467-2502 | 2014-12-16 |
1992045553 | Devon Marie Ohlenschlaeger | Physical Therapist | 7408 Lake Worth Rd, Suite 500, Lake Worth, FL 33467-2502 | 2013-02-19 |
1770840407 | Sandra Marcela Warren | Preventive Medicine | 7408 Lake Worth Rd, Suite 700, Lake Worth, FL 33467-2502 | 2012-04-19 |
1356632434 | Ana Margarita Ferwerda | Obstetrics & Gynecology | 7408 Lake Worth Rd, Lake Worth, FL 33467-2502 | 2011-04-25 |
1215176086 | Daniel Jesus Perez | Family Medicine | 7408 Lake Worth Rd, Lake Worth, FL 33467-2502 | 2009-02-18 |
1457503666 | Duclos Dessalines | Pediatrics | 7408 Lake Worth Rd, Lake Worth, FL 33467-2502 | 2008-10-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
Find all providers in zip 33467 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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Find all providers with the same taxonomy |
City | LAKE WORTH |
Zip Code | 33467 |
Please comment or provide details below to improve the information on DISTRICT CLINIC HOLDINGS INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.