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Export Provider Record NPI 1174167993
Pcc Medical Holdings Llc
Organization Subpart: NO
Active
NPI Number1174167993
NPI TypeNPI-2 Organization
SpecialtyInternal Medicine
Provider Details
NPI1174167993
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2019-11-05
Last Updated2024-04-04
Authorized OfficialWilliam Steele
CEO
Phone: 5613850731
Mailing Address1732 S Congress Ave Ste 346
Palm Springs, FL 33461-2140
United States
Phone: (561) 385-0731 | Fax: (561) 629-7302
📍 View Map
Primary Practice Address5055 South Congress Avenue, Suite 303
Lake Worth, FL 33461
United States
Phone: (561) 385-0731 | Fax: (561) 629-7302
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal Medicine--
No261Q00000X – Clinic/Center--
No302R00000X – Health Maintenance Organization--
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About NPI 1174167993

Pcc Medical Holdings Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1174167993. The primary specialty listed is Internal Medicine. The organization is located in Lake Worth, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-11-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1174167993?

NPI 1174167993 belongs to Pcc Medical Holdings Llc, a Internal Medicine in Lake Worth, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1174167993 active?

The current status of NPI 1174167993 in the NPPES registry is Active. The record was last updated on 2024-04-04.

What specialty is NPI 1174167993?

NPI 1174167993 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1174167993?

You can verify NPI 1174167993 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1174167993?

The primary practice address on file for NPI 1174167993 is 5055 South Congress Avenue, Lake Worth, FL 33461. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1174167993 issued?

NPI 1174167993 was first issued (enumerated) on 2019-11-05. The NPPES record was last updated on 2024-04-04.

Practice Location Map

Pcc Medical Holdings Llc is located at 5055 South Congress Avenue, Lake Worth, FL. Use the map below to find directions or verify the practice location.

📍 5055 South Congress Avenue, Lake Worth, FL 33461  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Pcc Medical Holdings Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-09 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162