Provider Demographics
NPI:1902203078
Name:SAMARITAN HEALTH SYSTEM OF FLORIDA
Entity Type:Organization
Organization Name:SAMARITAN HEALTH SYSTEM OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-692-5181
Mailing Address - Street 1:100 S ASHLEY DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5304
Mailing Address - Country:US
Mailing Address - Phone:888-411-9450
Mailing Address - Fax:813-331-0428
Practice Address - Street 1:100 S ASHLEY DR
Practice Address - Street 2:SUITE 600
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-5304
Practice Address - Country:US
Practice Address - Phone:888-411-9450
Practice Address - Fax:813-331-0428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health