FLORIDA ATLANTIC UNIVERSITY – NPI #1093026619
Clinic/Center

FLORIDA ATLANTIC UNIVERSITY is an AHC clinic located in WEST PALM BEACH, FL. NPPES has assigned the NPI number 1093026619 to FLORIDA ATLANTIC UNIVERSITY on June 29, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC) Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jan 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FLORIDA ATLANTIC UNIVERSITY below.

NPI Profile for
FLORIDA ATLANTIC UNIVERSITY

NPI Number
1093026619
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FLORIDA ATLANTIC UNIVERSITY
Primary location
1650 OSCEOLA DRIVE
WEST PALM BEACH, FL 33409
Phone: (561) 803-8880 Fax: (877) 409-1795
1 Other location(s):
720 8th St
West Palm Beach, FL 33401-3606
Phone: (561) 803-8880
Fax: (877) 409-1795
Mailing address
1650 OSCEOLA DR
WEST PALM BEACH, FL 33409-5038
Phone: (561) 803-8880 Fax: (877) 409-1795
Organization Subpart
Yes - FLORIDA ATLANTIC UNIVERSITY is subpart of another organization.
Authorized Official
LOUISA PONTIROLI KELLY
CEO
Phone: (561) 803-8880
Updated
Certification Date
Jan 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FLORIDA ATLANTIC UNIVERSITY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBCBSFL002Z8
otherFQHC MEDICARE 2021 FOR BOTH 1650 AND 720 LOCATIONSFL681903
otherLUCETFLC7MZP
otherMEDICAREFLK3331C
otherMEDICAREFLC11027
medicaidFL127082700
medicaidFL127082701
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
363LP2300X
- Nurse Practitioner / Primary Care
363LP0808X
- Nurse Practitioner / Psychiatric/Mental Health
363L00000X
- Nurse Practitioner
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.