| Palm Beach Community Care, Llc | |
|
2150 Lake Ida Rd Ste 5 Delray Beach FL 33445-2443 | |
| (561) 330-3026 | |
| (561) 330-3027 |
| Full Name | Palm Beach Community Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2150 Lake Ida Rd Ste 5, Delray Beach, Florida |
| Authorized Official Name and Position | Mrunalini Kavuri (PRESIDENT) |
| Authorized Official Contact | 5613303026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Community Care, Llc 2150 Lake Ida Rd Ste 5 Delray Beach FL 33445-2443 Ph: (561) 330-3026 | Palm Beach Community Care, Llc 2150 Lake Ida Rd Ste 5 Delray Beach FL 33445-2443 Ph: (561) 330-3026 |
| NPI Number | 1205313244 |
|---|---|
| Provider Enumeration Date | 07/23/2018 |
| Last Update Date | 07/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205313244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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