MEDICARE: FLORIDA HOSPITAL DADE CITY INC

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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1821553710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA HOSPITAL DADE CITY INC

Provider Business Mailing Address
First Line	:	13100 FORT KING RD
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-5294
Country	:	US
Telephone Number	:	352-521-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	13100 FORT KING RD
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-5294
Country	:	US
Telephone Number	:	352-521-1100
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	RYAN WILLIS
Credential	:
Telephone Number	:	813-615-7097

Provider Enumeration Date	:	02/05/2019
Last Update Date	:	02/13/2026

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Directions to “FLORIDA HOSPITAL DADE CITY INC ” Practice Location

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