1992759419 NPI number — HCA HEALTH SERVICES OF FLORIDA, INC.

Table of content: (NPI 1992759419)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992759419 NPI number — HCA HEALTH SERVICES OF FLORIDA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HCA HEALTH SERVICES OF FLORIDA, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992759419
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14000 FIVAY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUDSON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34667-7103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-819-2929
Provider Business Mailing Address Fax Number:
727-869-5491

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14000 FIVAY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUDSON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34667-7103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-819-2929
Provider Business Practice Location Address Fax Number:
727-869-5491
Provider Enumeration Date:
05/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GREGORY
Authorized Official First Name:
SHAWN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
727-819-2929

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 300039854E , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 579 . This is a "BLUE CROSS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 000030951 . This is a "HUMANA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0581106 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 304960525 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007294580003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 404960534 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 031184500 . This is a "BLACK LUNG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000593832X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0065658 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 011988100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 20482 . This is a "WELLCARE/STAYWELL" identifier . This identifiers is of the category "OTHER".
  • Identifier: REG0256N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 011988100 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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