Cl Brumback Primary Care Clinic, Mangonia Park in West Palm Beach, FL

Cl Brumback Primary Care Clinic, Mangonia Park is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in West Palm Beach, Florida. The current practice location for Cl Brumback Primary Care Clinic, Mangonia Park is 2051 45th St Ste 300, West Palm Beach, Florida. For appointments, you can reach them via phone at (561) 642-1000. The mailing address for Cl Brumback Primary Care Clinic, Mangonia Park is 1515 N Flagler Dr Ste 101, West Palm Beach, Florida and phone number is (561) 642-1000.

Cl Brumback Primary Care Clinic, Mangonia Park is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780155200. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (561) 642-1000.

Contact Information

	Cl Brumback Primary Care Clinic, Mangonia Park
	2051 45th St Ste 300 West Palm Beach FL 33407-2031
	(561) 642-1000
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Cl Brumback Primary Care Clinic, Mangonia Park
Speciality	Clinic/Center
Location	2051 45th St Ste 300, West Palm 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 and Practice Location

Mailing Address	Practice Location Address
Cl Brumback Primary Care Clinic, Mangonia Park 1515 N Flagler Dr Ste 101 West Palm Beach FL 33401-3429 Ph: (561) 642-1000	Cl Brumback Primary Care Clinic, Mangonia Park 2051 45th St Ste 300 West Palm Beach FL 33407-2031 Ph: (561) 642-1000

NPI Details:

NPI Number	1780155200
Provider Enumeration Date	12/10/2018
Last Update Date	04/18/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	4486876000
Medicare Enrollment ID	O20191030003723

Medical Identifiers

Medical identifiers for Cl Brumback Primary Care Clinic, Mangonia Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780155200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Secondary

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Cl Brumback Primary Care Clinic, Mangonia Park - Medicare Primary Care in West Palm Beach, FL