Provider Demographics
NPI:1205266145
Name:FLORIDA HOSPITAL
Entity type:Organization
Organization Name:FLORIDA HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD & NECK CANCER COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:AMODEO
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:407-303-7132
Mailing Address - Street 1:2100 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3310
Mailing Address - Country:US
Mailing Address - Phone:407-303-7132
Mailing Address - Fax:
Practice Address - Street 1:2100 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3310
Practice Address - Country:US
Practice Address - Phone:407-303-7132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2729452282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital