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Contact Information

PCC MEDICAL HOLDINGS LLC
5055 SOUTH CONGRESS AVENUE
SUITE 303
LAKE WORTH, FL33461
 Phone: 561-385-0731
 Fax: 561-629-7302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Clinic/Center

261Q00000X
 

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for PCC MEDICAL HOLDINGS LLC · (Female)

NPI Number 1174167993
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2019
Last updated 04/04/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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