Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Florida Atlantic University

Organization Family Medicine Physician · NPI 1093026619

Florida Atlantic University is a Family Medicine Physician in West Palm Beach, Florida. Works from 2 locations. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
5
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Practice location Address checks out

1650 Osceola Dr
West Palm Beach, FL 33409
Phone: (561) 803-8880
Fax: (877) 409-1795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 720 8th St, West Palm Beach, FL 33401-3606 — (561) 803-8880

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X
Nurse Practitioner Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1093026619
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFlorida Atlantic University
Authorized official Louisa Pontiroli Kelly — Ceo · (561) 803-8880
Other names Fau Community Health Center; Fau Community Health Center
NPI enumeratedJune 29, 2010
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address1650 Osceola Dr, West Palm Beach, FL 33409-5038

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