Active NPI
PCC Medical Holdings LLC
- Internal Medicine Physician
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PCC MEDICAL HOLDINGS LLC
- Practice address
- 5055 South Congress Avenue
Suite 303
Lake Worth, FL 33461 - Phone
- (561) 385-0731
- Fax
- (561) 629-7302
- NPI assigned
- Nov 5, 2019
- Last updated
- Apr 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Steele, CEO
- Title
- Ceo
- Phone
- (561) 385-0731
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Clinic/Center | 261Q00000X | |||
| Health Maintenance Organization | 302R00000X |
Addresses
Primary practice location
5055 South Congress Avenue
Suite 303
Lake Worth, FL 33461
Mailing address
1732 S Congress Ave Ste 346
Palm Springs, FL 33461-2140
Phone (561) 385-0731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2212041 | PCC Medical Holdings, LLC | Certificate of waiver | Feb 1, 2027 |
National Provider Directory
National Provider DirectoryLocations (25 of 29)
7000 W Palmetto Park Rd
Ste 103
Boca Raton, FL 33433
Phone (561) 347-8122
9878 Clint Moore Rd
Boca Raton, FL 33496
9970 Central Park Blvd N
Ste 205
Boca Raton, FL 33428
Phone (561) 487-1203
3880 Coconut Creek Pkwy
Ste 300
Coconut Creek, FL 33066
Phone (954) 968-2955
8130 Royal Palm Blvd
Coral Springs, FL 33065
Phone (945) 345-4333
8130 Royal Palm Blvd
Ste 205
Coral Springs, FL 33065
Phone (954) 340-1500
1363 S Military Trl
Deerfield Beach, FL 33442
Phone (954) 570-7270
601 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 942-9233
4849 Lake Worth Rd
Fl 1
Greenacres, FL 33463
4849 Lake Worth Rd
Ste 346
Greenacres, FL 33463
5055 S Congress Ave
Lake Worth, FL 33461
4201 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 485-1131
100 N State Road 7
Margate, FL 33063
Phone (786) 274-2441
100 N State Road 7
Ste 204
Margate, FL 33063
Phone (954) 971-0330
4100 W New Haven Ave
Melbourne, FL 32904
4100 W New Haven Ave
Ste A
Melbourne, FL 32904
Phone (321) 340-7165
13377 W Dixie Hwy
Fl 1
North Miami, FL 33161
Phone (305) 893-8306
13377 W Dixie Hwy
Ste 1
North Miami, FL 33161
1140 S Semoran Blvd
Ste A
Orlando, FL 32807
1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165
1880 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 249-0636
309 W 1st St
Sanford, FL 32771
Phone (407) 324-5035
7166 N Nob Hill Rd
Tamarac, FL 33321
Phone (786) 583-5100
1960 Pointe West Dr
Ste 201
Vero Beach, FL 32966
Phone (772) 226-4260
7810 S Dixie Hwy
West Palm Bch, FL 33405
Phone (407) 586-5600
Practitioners & affiliated clinicians
Practitioners 81
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Lake Worth, FL
- NPI 1821054008
-
- Internal Medicine Physician
- Delray Beach, FL
- NPI 1164463824
-
- Internal Medicine Physician
- West Palm Beach, FL
- NPI 1407830995
-
- Family Medicine Physician
- Pembroke Pines, FL
- NPI 1093748204
-
- General Practice Physician
- Coral Gables, FL
- NPI 1558003426
-
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1538457304
-
- General Practice Physician
- Wesley Chapel, FL
- NPI 1124475835
-
- Internal Medicine Physician
- Palm Springs, FL
- NPI 1447262993
-
- General Practice Physician
- Tamarac, FL
- NPI 1407559966
-
- Family Medicine Physician
- Orlando, FL
- NPI 1679654727
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1861489023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712188800000",
"number": "1174167993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1732 S CONGRESS AVE STE 346",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334612140",
"telephone_number": "561-385-0731",
"fax_number": "561-629-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 SOUTH CONGRESS AVENUE",
"address_2": "SUITE 303",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33461",
"telephone_number": "561-385-0731",
"fax_number": "561-629-7302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PCC MEDICAL HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-05",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A",
"authorized_official_last_name": "STEELE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-385-0731",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.