Organization
COMMUNITY CARE OF FLOIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT D CHENETTE (PRESIDENT)
(561) 282-4330
Entity
Organization
Contact information
Practice address
4601 N CONGRESS AVE, SUITE 105, WEST PALM BEACH, FL 33407-3228
(561) 282-4330
Mailing address
11601 KEW GARDENS AVE, SUITE 200, PALM BEACH GARDENS, FL 33410-2852
(561) 282-4330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
04/03/2014
Last updated
05/15/2014
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