Provider Demographics
NPI:1457500191
Name:FLORIDA HOSPITAL
Entity Type:Organization
Organization Name:FLORIDA HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP-BC/GI NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:ANNMARIE
Authorized Official - Last Name:HARRIS-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:407-303-5600
Mailing Address - Street 1:12731 SPURRIER LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-5865
Mailing Address - Country:US
Mailing Address - Phone:407-888-8189
Mailing Address - Fax:
Practice Address - Street 1:601 E ROLLINS ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1248
Practice Address - Country:US
Practice Address - Phone:407-303-8538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3297592281P00000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No281P00000XHospitalsChronic Disease Hospital