PBC Firefighters Employee Benefits Fund

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PBC FIREFIGHTERS EMPLOYEE BENEFITS FUND

Practice address

3228 SW Martin Downs Blvd Ste 33a
Palm City, FL 34990-2679

Phone

(561) 969-6663

Fax

(561) 721-3106

NPI assigned

Aug 12, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Leigh Clarke

Title

Operations Manager

Phone

(561) 969-6663

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCGHCA

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1255006193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 7TH PL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113801",
            "telephone_number": "561-969-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 SW MARTIN DOWNS BLVD STE 33A",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902679",
            "telephone_number": "561-969-6663",
            "fax_number": "561-721-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBC FIREFIGHTERS EMPLOYEE BENEFITS FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "561-969-6663",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Palm City, FL
• Providers in Palm City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.