Provider Demographics
| NPI: | 1639325046 |
|---|---|
| Name: | FLORIDA HOSPITAL ZEPHYRHILLS INC |
| Entity type: | Organization |
| Organization Name: | FLORIDA HOSPITAL ZEPHYRHILLS INC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| 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? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
