Healthcare Provider Details

I. General information

NPI: 1013542083
Provider Name (Legal Business Name): HOSPITALISTS OF FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2020
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26606 MAGNOLIA BLVD
LUTZ FL
33559-8545
US

IV. Provider business mailing address

26606 MAGNOLIA BLVD
LUTZ FL
33559-8545
US

V. Phone/Fax

Practice location:
  • Phone: 813-907-0123
  • Fax: 813-907-5559
Mailing address:
  • Phone: 813-907-0123
  • Fax: 813-907-5559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MANISH SHARMA
Title or Position: PRESIDENT
Credential: DO
Phone: 813-380-9557