Healthcare Provider Details

I. General information

NPI: 1023387479
Provider Name (Legal Business Name): PLANTATION GENERAL HOSPITAL LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2011
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 S MIAMI AVE
MIAMI FL
33133-4253
US

IV. Provider business mailing address

401 NW 42ND AVE
PLANTATION FL
33317-2835
US

V. Phone/Fax

Practice location:
  • Phone: 305-285-2121
  • Fax: 305-285-2114
Mailing address:
  • Phone: 954-587-5010
  • Fax: 954-587-3220

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: JOAN WELCH
Title or Position: CFO
Credential:
Phone: 603-421-2102