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NPI Code Detail

MEDICARE: PALM SPRINGS GENERAL HOSPITAL INC NEW CORPORATION

MEDICARE: PALM SPRINGS GENERAL HOSPITAL INC NEW CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician
2207ZC0006XClinical Pathology Physician
3282N00000XGeneral Acute Care Hospital4065FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10050OTHERFLMEDICARE PART B

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295755676
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALM SPRINGS GENERAL HOSPITAL INC NEW CORPORATION
Provider Business Mailing Address
First Line : 1475 W 49TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3222
Country : US
Telephone Number : 305-558-2500
Fax Number : 305-826-9002
Provider Business Practice Location Address
First Line : 1475 W 49TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3222
Country : US
Telephone Number : 305-558-2500
Fax Number : 305-826-9002
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. TONY MILIAN
Credential :
Telephone Number : 305-824-4703
Provider Enumeration Date : 07/20/2006
Last Update Date : 11/21/2014

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1902922701 — DAVID HASKIN
Practice Location Address:
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Directions to “PALM SPRINGS GENERAL HOSPITAL INC NEW CORPORATION ” Practice Location

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