Organization
DISTRICT CLINIC HOLDINGS INC
Active
Other names
CL Brumback Primary Care Clinic, Mangonia Park
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY DAVIS (CEO)
(561) 804-5885
Entity
Organization
Contact information
Practice address
2051 45TH ST STE 300, WEST PALM BEACH, FL 33407-2031
(561) 642-1000
Mailing address
1515 N FLAGLER DR STE 101, WEST PALM BEACH, FL 33401-3429
(561) 642-1000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/10/2018
Last updated
04/18/2023
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