Provider Demographics
NPI:1861510513
Name:FLORIDA HOSPITAL
Entity Type:Organization
Organization Name:FLORIDA HOSPITAL
Other - Org Name:FLORIDA HOSPITAL CENTRA CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEVY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:407-934-2277
Mailing Address - Street 1:2801 PLAZA TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-2802
Mailing Address - Country:US
Mailing Address - Phone:407-267-0855
Mailing Address - Fax:
Practice Address - Street 1:2801 PLAZA TERRACE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-2802
Practice Address - Country:US
Practice Address - Phone:407-267-0855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9100912261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care