Healthcare Provider Details

I. General information

NPI: 1366352908
Provider Name (Legal Business Name): UNIVERSITY COMMUNITY HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S MOON AVE STE 106
BRANDON FL
33511-5716
US

IV. Provider business mailing address

PO BOX 947372
ATLANTA GA
30394-7372
US

V. Phone/Fax

Practice location:
  • Phone: 813-615-7100
  • Fax: 813-654-3451
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER CHRISTOPHER
Title or Position: CFO
Credential:
Phone: 813-558-4926