DISTRICT CLINIC HOLDINGS INC (NPI# 1720325517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720325517 |
| Entity Type | Organization |
| Organization Name | DISTRICT CLINIC HOLDINGS INC |
| Practice Address |
1250 Southwinds Dr Lantana FL 33462 |
| Mailing Address |
1515 N Flagler Dr Ste 101 West Palm Bch FL 33401-3429 |
| Practice Telephone | 5615825559 |
| Practice Fax Number | 5614394384 |
| Mailing Telephone | 5616591270 |
| Mailing Fax Number | 5618339469 |
| Enumeration Date | 2013-01-14 |
| 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 | 008037101 | 05 | |
| FL | 008037100 | 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 |
| 1184004590 | District Clinic Holdings Inc | Clinic/Center | 7408 Lake Worth Rd, Lake Worth, FL 33467 | 2015-06-02 |
| 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 |
| 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 |
1250 SOUTHWINDS DR |
| City | LANTANA |
| State | FL |
| Zip Code | 33462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454015 | Stewart J Friedman | Obstetrics & Gynecology | 1250 Southwinds Dr, Lantana, FL 33462 | 2005-08-19 |
| 1003417296 | Irene Saharai Garcia | Dental Hygienist | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2020-11-04 |
| 1609475383 | Patrice G Petersen | Dental Hygienist | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2020-10-22 |
| 1922622521 | Christeena E Koshy | Nurse Practitioner | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2020-05-31 |
| 1881246296 | Marco Angelo Fernandez Sanchez | Nurse Practitioner | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2019-07-15 |
| 1093272973 | Melinda Pierre | Nurse Practitioner | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2019-02-27 |
| 1821553652 | Massiel Marie Perez | Counselor | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2019-02-06 |
| 1942782461 | Patricia Doreen Marshall Hohn | Nurse Practitioner | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2018-08-30 |
| 1053833210 | Arlene Lopez | Dental Hygienist | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2017-07-10 |
| 1679094734 | Elaine Esplin | Counselor | 1250 Southwinds Dr, Lantana, FL 33462-1459 | 2017-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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.