Healthcare Provider Details

I. General information

NPI: 1023093234
Provider Name (Legal Business Name): BETHESDA HOSPITAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 S SEACREST BLVD
BOYNTON BEACH FL
33435-7934
US

IV. Provider business mailing address

2815 S SEACREST BLVD
BOYNTON BEACH FL
33435-7934
US

V. Phone/Fax

Practice location:
  • Phone: 561-737-7733
  • Fax: 561-737-4534
Mailing address:
  • Phone: 561-737-7733
  • Fax: 561-737-4534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number4452
License Number StateFL

VIII. Authorized Official

Name: JARED SMITH
Title or Position: CEO
Credential:
Phone: 561-737-7733