Provider Demographics
NPI:1013382860
Name:LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS, LLC
Entity Type:Organization
Organization Name:LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOSA-GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:FACHE, BSN, MBA
Authorized Official - Phone:305-284-7701
Mailing Address - Street 1:5996 SW 70TH ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3540
Mailing Address - Country:US
Mailing Address - Phone:305-284-7701
Mailing Address - Fax:305-284-7545
Practice Address - Street 1:1475 W 49TH PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3113
Practice Address - Country:US
Practice Address - Phone:305-558-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4065282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital