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PCC MEDICAL HOLDINGS LLC NPI 1174167993


NPI Information

NPI: 1174167993
Provider Name: PCC MEDICAL HOLDINGS LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D1024032

Address:
5055 SOUTH CONGRESS AVENUE
SUITE 303
LAKE WORTH, FL
ZIP 33461
Phone: (561) 385-0731
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PCC MEDICAL HOLDINGS LLC is an internal medicine in Lake Worth, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PCC MEDICAL HOLDINGS LLC NPI is 1174167993. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5055 SOUTH CONGRESS AVENUE
SUITE 303
LAKE WORTH, FL
ZIP 33461
Phone: (561) 385-0731
Fax: (561) 629-7302

The provider's authorized official is William Steele .
The authorized official title is Ceo and has the following contact phone number (561) 385-0731.

The CLIA number assigned to this NPI record is 10D1024032 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2019 and was last updated on 4/4/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes
2261Q00000XClinic/CenterNo
3302R00000XHealth Maintenance OrganizationNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.