Provider Demographics
NPI:1427371350
Name:ALL PROFESSIONAL COMMUNITY MEDICAL CENTER LLC
Entity type:Organization
Organization Name:ALL PROFESSIONAL COMMUNITY MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PINKY
Authorized Official - Middle Name:BELMIS
Authorized Official - Last Name:ALEXANDRE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:561-993-0507
Mailing Address - Street 1:PO BOX 244001
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33424-4001
Mailing Address - Country:US
Mailing Address - Phone:561-993-0507
Mailing Address - Fax:561-993-0509
Practice Address - Street 1:417 NW 16TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-2441
Practice Address - Country:US
Practice Address - Phone:561-993-0507
Practice Address - Fax:561-993-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-05
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health