Provider Demographics
NPI:1053705939
Name:DOCTOR'S CHOICE MEDICAL CENTER, INC
Entity type:Organization
Organization Name:DOCTOR'S CHOICE MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IHOSVANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-433-8900
Mailing Address - Street 1:4670 FOREST HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-5640
Mailing Address - Country:US
Mailing Address - Phone:561-433-8900
Mailing Address - Fax:561-433-4117
Practice Address - Street 1:3715 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461
Practice Address - Country:US
Practice Address - Phone:561-433-8900
Practice Address - Fax:561-433-4312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10291261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBB034AMedicare PIN