Provider Demographics
NPI:1396849618
Name:FLORIDA HOSPITAL ZEPHYRHILLS INC
Entity Type:Organization
Organization Name:FLORIDA HOSPITAL ZEPHYRHILLS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SURBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-788-0411
Mailing Address - Street 1:7050 GALL BLVD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541-1347
Mailing Address - Country:US
Mailing Address - Phone:813-788-0411
Mailing Address - Fax:813-783-6196
Practice Address - Street 1:7050 GALL BLVD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-1347
Practice Address - Country:US
Practice Address - Phone:813-788-0411
Practice Address - Fax:813-783-6196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4445332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106178OtherAMERIGROUP
FL615287OtherCCN
FL10031540OtherPPO NEXT
FL304499OtherHEALTHEASE PASCO
FL304499OtherSTAYWELL
FL533OtherBLUE CROSS
FL60081OtherAETNA
FL100520OtherAV-MED HEALTH PLAN
FL304499OtherWELLCARE
FLH6390120OtherMULTIPLAN
FL100520OtherAV-MED HEALTH PLAN