Provider Demographics
NPI:1386022648
Name:HEALTHCARE NOW FLORIDA INC
Entity Type:Organization
Organization Name:HEALTHCARE NOW FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRISTOBAL
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:727-786-6155
Mailing Address - Street 1:3890 TAMPA RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3676
Mailing Address - Country:US
Mailing Address - Phone:727-767-0940
Mailing Address - Fax:727-767-0937
Practice Address - Street 1:2128 34TH ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-3224
Practice Address - Country:US
Practice Address - Phone:727-767-0940
Practice Address - Fax:727-767-0937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68810261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG17480Medicare UPIN