Provider Demographics
NPI:1861818403
Name:LARKIN COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:LARKIN COMMUNITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PGY-2 PM&R RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:COMPAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-304-9129
Mailing Address - Street 1:16320 S POST RD
Mailing Address - Street 2:APT 301
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3553
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7031 SW 62ND AVE
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4701
Practice Address - Country:US
Practice Address - Phone:305-284-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLU03398282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital