Provider Demographics
NPI:1639325046
Name:FLORIDA HOSPITAL ZEPHYRHILLS INC
Entity Type:Organization
Organization Name:FLORIDA HOSPITAL ZEPHYRHILLS INC
Other - Org Name:FLORIDA HOSPITAL ZEPHYRHILLS PHYSICIAN GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-779-6201
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?:Yes
Parent Organization LBN:FLORIDA HOSPITAL ZEPHYRHILLS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-18
Last Update Date:2020-05-22
Deactivation Date:2020-05-11
Deactivation Code:
Reactivation Date:2020-05-22
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty