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PCC MEDICAL HOLDINGS LLC
NPI 1174167993
Internal Medicine in Lake Worth, FL

Active since November 05, 2019CLIA Certified · 2 labs
5055 SOUTH CONGRESS AVENUE, SUITE 303, LAKE WORTH, FL 33461(561) 385-0731(561) 629-7302 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2024, Apr 19, 2022, Nov 5, 2019 (3 updates tracked since 2019).

About Pcc Medical Holdings Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PCC MEDICAL HOLDINGS LLC (NPI 1174167993) is a healthcare organization registered as an internal medicine in Lake Worth, Florida and active in the NPI registry since November 2019. The organization holds 2 active CLIA laboratory certificates and lists William Steele, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174167993
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePCC MEDICAL HOLDINGS LLC
Location Address5055 SOUTH CONGRESS AVENUE, SUITE 303Lake Worth, FL 33461
Mailing Address1732 S Congress Ave Ste 346Palm Springs, FL 33461-2140 · (561) 385-0731 · Fax (561) 629-7302
Phone(561) 385-0731
Fax(561) 629-7302
Organization SubpartNo
Authorized OfficialWilliam SteeleCeo · (561) 385-0731
Enumeration DateNovember 5, 2019
Last NPPES UpdateApril 4, 20243 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1174167993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X
5055 SOUTH CONGRESS AVENUE, Lake Worth, FL 33461
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2212041

Pcc Medical Holdings, LLC · Lake Worth, FL
Active · expires Feb 1, 2027
CLIA Number10D2212041
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorAlikhan Ahned
Laboratory Phone(561) 353-1225
Laboratory LocationPcc Medical Holdings, LLC5055 South Congress Ave Suite 303, Lake Worth, FL 33461
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1024032

Pcc Medical Holdings LLC · Palm Springs, FL
Active · expires Mar 31, 2028
CLIA Number10D1024032
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorMarieli M. Hernandez
Laboratory Phone(561) 432-4577
Laboratory LocationPcc Medical Holdings LLC1670 South Congress Ave, Palm Springs, FL 33461
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pcc Medical Holdings LLC's NPI number?

The NPI number for Pcc Medical Holdings LLC is 1174167993. It was assigned to this organization in the NPPES registry on November 5, 2019.

Where is Pcc Medical Holdings LLC located?

Pcc Medical Holdings LLC is located at 5055 South Congress Avenue Suite 303, Lake Worth, FL 33461. The listed phone number is (561) 385-0731.

What is Pcc Medical Holdings LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Pcc Medical Holdings LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pcc Medical Holdings LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Pcc Medical Holdings LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pcc Medical Holdings LLC was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.