Healthcare Provider Details
I. General information
NPI: 1386985190
Provider Name (Legal Business Name): HOLY CROSS HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/05/2013
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1115 S. FEDERAL HIGHWAY
FORT LAUDERDALE FL
33316
US
IV. Provider business mailing address
4725 NORTH FEDERAL HIGHWAY
FORT LAUDERDALE FL
33308
US
V. Phone/Fax
- Phone: 954-229-8672
- Fax: 954-489-2846
- Phone: 954-771-8000
- Fax: 954-492-5741
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085B0100X |
| Taxonomy | Body Imaging Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PIERRE
MONICE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 708-216-9297