Active NPI
Foundations Health Centers
- Addiction Medicine (Preventive Medicine) Physician
- Palm Bay, FL
National Provider Identifier
1932018405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- Legal business name
- FOUNDATIONS HEALTH CENTERS
- Practice address
- 1501 Robert J Conlan Blvd NE Ste 7
Palm Bay, FL 32905-3559 - Phone
- (321) 479-4083
- Fax
- (321) 294-5036
- NPI assigned
- Sep 2, 2026
- 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
- Christal Dickun, MD
- Title
- Owner of Entity
- Phone
- (321) 479-4083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | Primary |
Addresses
Primary practice location
1501 Robert J Conlan Blvd NE Ste 7
Palm Bay, FL 32905-3559
Mailing address
1501 Robert J Conlan Blvd NE Ste 7
Palm Bay, FL 32905-3559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1932018405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 ROBERT J CONLAN BLVD NE STE 7",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329053559",
"fax_number": "321-294-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 ROBERT J CONLAN BLVD NE STE 7",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329053559",
"telephone_number": "321-479-4083",
"fax_number": "321-294-5036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDATIONS HEALTH CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "DICKUN",
"authorized_official_first_name": "CHRISTAL",
"authorized_official_title_or_position": "OWNER OF ENTITY",
"authorized_official_telephone_number": "321-479-4083",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.