Provider Demographics
NPI:1720491202
Name:FLORIDA HOSPITAL
Entity Type:Organization
Organization Name:FLORIDA HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARASWATHI
Authorized Official - Middle Name:A
Authorized Official - Last Name:BASHYAM
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:407-303-5600
Mailing Address - Street 1:8430 WAIALAE CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5012
Mailing Address - Country:US
Mailing Address - Phone:407-721-8483
Mailing Address - Fax:
Practice Address - Street 1:601 E ROLLINS ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1248
Practice Address - Country:US
Practice Address - Phone:407-303-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital