| Community Care Of Floida Llc | |
|
4601 N Congress Ave Suite 105 West Palm Beach FL 33407-3228 | |
| (561) 282-4330 | |
| Not Available |
| Full Name | Community Care Of Floida Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4601 N Congress Ave, West Palm Beach, Florida |
| Authorized Official Name and Position | Dwight D Chenette (PRESIDENT) |
| Authorized Official Contact | 5612824330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Of Floida Llc 11601 Kew Gardens Ave Suite 200 Palm Beach Gardens FL 33410-2852 Ph: (561) 282-4330 | Community Care Of Floida Llc 4601 N Congress Ave Suite 105 West Palm Beach FL 33407-3228 Ph: (561) 282-4330 |
| NPI Number | 1053739243 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 05/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053739243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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