Healthcare Provider Details

I. General information

NPI: 1902716475
Provider Name (Legal Business Name): PASCO-PINELLAS HILLSBOROUGH COMMUNITY HEALTH SYSTEM 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

16625 STATE ROAD 54
LUTZ FL
33558-3723
US

IV. Provider business mailing address

PO BOX 947855
ATLANTA GA
30394-7855
US

V. Phone/Fax

Practice location:
  • Phone: 813-328-4999
  • Fax:
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: RYAN QUATTLEBAUM
Title or Position: CEO
Credential:
Phone: 813-929-9482