Organization · Type 2 NPI

Foundations Health Centers

Addiction Medicine (Preventive Medicine) Physician · Palm Bay, FL

NPI number 1932018405 Active

Practice location

1501 Robert J Conlan Blvd NE Ste 7
Palm Bay, FL 32905-3559

Fax (321) 294-5036

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Preventive Medicine) Physician Primary 2083A0300XNone listed

Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

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About NPI 1932018405

Foundations Health Centers's National Provider Identifier is 1932018405, issued on Sep 2, 2026. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Palm Bay, FL. The record was last updated on Sep 2, 2026.