Provider Demographics
NPI:1467458307
Name:THE HEALTH CARE DISTRICT OF PALM BEACH COUNTY
Entity Type:Organization
Organization Name:THE HEALTH CARE DISTRICT OF PALM BEACH COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:WIEWORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-659-1270
Mailing Address - Street 1:324 DATURA ST
Mailing Address - Street 2:STE 401
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5417
Mailing Address - Country:US
Mailing Address - Phone:561-659-1270
Mailing Address - Fax:561-671-4669
Practice Address - Street 1:324 DATURA ST
Practice Address - Street 2:STE 401
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5417
Practice Address - Country:US
Practice Address - Phone:561-659-1270
Practice Address - Fax:561-671-4669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YS0200X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
Not Answered163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Multi-Specialty