Provider Demographics
NPI:1235340555
Name:FLORIDA HEALTH CARE SYSTEMS INC. OF MIAMI
Entity Type:Organization
Organization Name:FLORIDA HEALTH CARE SYSTEMS INC. OF MIAMI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:EUTSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-232-4949
Mailing Address - Street 1:9299 SW 152ND ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:VILLAGE OF PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1775
Mailing Address - Country:US
Mailing Address - Phone:305-232-4949
Mailing Address - Fax:305-232-5415
Practice Address - Street 1:9299 SW 152ND ST
Practice Address - Street 2:SUITE 104
Practice Address - City:VILLAGE OF PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1775
Practice Address - Country:US
Practice Address - Phone:305-232-4949
Practice Address - Fax:305-232-5415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care