Organization
FOUNDATIONS HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTAL DICKUN MD (OWNER, CEO)
(860) 204-1200
Entity
Organization
Contact information
Practice address
1501 ROBERT J CONLAN BLVD NE STE 7, PALM BAY, FL 32905-3559
(321) 479-4083
(321) 294-5036
Mailing address
1501 ROBERT J CONLAN BLVD NE STE 7, PALM BAY, FL 32905-3559
(321) 479-4083
(321) 294-5036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/05/2026
Last updated
03/23/2026
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