MEDICARE: HOSPICE OF THE PALM COAST 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	251G00000X	Community Based Hospice Care Agency	50370970	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1912932948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE OF THE PALM COAST INC

Provider Business Mailing Address
First Line	:	717 N HARWOOD ST
Second Line	:	SUITE 1500
City	:	DALLAS
State	:	TX
Zip	:	75201-6519
Country	:	US
Telephone Number	:	214-922-9711
Fax Number	:	214-922-9752

Provider Business Practice Location Address
First Line	:	6161 BLUE LAGOON DRIVE
Second Line	:	SUITE 170
City	:	MIAMI
State	:	FL
Zip	:	33126-2045
Country	:	US
Telephone Number	:	786-388-1400
Fax Number	:	786-388-1401

Authorized Official
Title or Position	:	SR VP & CFO
Name	:	MR. RODNEY DIRK ALLISON
Credential	:
Telephone Number	:	214-922-9711

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	08/25/2009

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1114159902 — ODYSSEY HEALTHCARE OF MARION COUNTY, LLC
Practice Location Address:

6161 BLUE LAGOON DR STE 170
MIAMI, FL
33126-2045

Practice Phone: 786-388-1400
Practice Fax: 786-388-1401

1053184341 — JUMIRLET ORTEGA PEREZ APRN
Practice Location Address:

6161 BLUE LAGOON DR STE 170
MIAMI, FL
33126-2045

Practice Phone: 786-388-1400
Practice Fax: 786-388-1219

1073456596 — MS. IDALMIS HERNANDEZ
Practice Location Address:

6161 WATERFORD DISTRICT DR STE 170
MIAMI, FL
33126-2045

Practice Phone: 786-388-1400
Practice Fax:

1043261738 — HOPE MEDICAL CORP
Practice Location Address:

8420 W FLAGLER ST
MIAMI, FL
33144-2045

Practice Phone: 305-552-0137
Practice Fax:

1255433264 — JULIO ORTIZ MD
Practice Location Address:

8420 W FLAGLER ST STE 120
MIAMI, FL
33144-2045

Practice Phone: 305-552-0109
Practice Fax: 305-559-5300

Directions to “HOSPICE OF THE PALM COAST INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.