MEDICARE: HOSPICE AND PALLIATIVE PHYSICIAN SERVICES, LLC

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
1	208D00000X	General Practice Physician		FL

General Provider Information

NPI Number	:	1609811009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE AND PALLIATIVE PHYSICIAN SERVICES, LLC

Provider Business Mailing Address
First Line	:	4644 KEYSVILLE AVE
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-3515
Country	:	US
Telephone Number	:	352-650-2250
Fax Number	:	352-666-4216

Provider Business Practice Location Address
First Line	:	4644 KEYSVILLE AVE
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-3515
Country	:	US
Telephone Number	:	352-650-2250
Fax Number	:	352-666-4216

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID M MCGREW
Credential	:	MD
Telephone Number	:	352-650-2250

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	03/01/2010

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