Provider Demographics
NPI:1578895033
Name:LARGO MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:LARGO MEDICAL CENTER, INC.
Other - Org Name:HCA FLORIDA LARGO HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-588-5251
Mailing Address - Street 1:11315 CORPORATE BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-8344
Mailing Address - Country:US
Mailing Address - Phone:727-588-5800
Mailing Address - Fax:727-587-7623
Practice Address - Street 1:2025 INDIAN ROCKS RD S
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-1035
Practice Address - Country:US
Practice Address - Phone:727-581-9474
Practice Address - Fax:727-587-7623
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LARGO MEDICAL CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-09
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
10S248Medicare Oscar/Certification