Healthcare Provider Details

I. General information

NPI: 1952079030
Provider Name (Legal Business Name): THE HOSPICE OF THE FLORIDA SUNCOAST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2675 TAMPA RD
PALM HARBOR FL
34684-3109
US

IV. Provider business mailing address

6310 CAPITAL DR
LAKEWOOD RANCH FL
34202-5013
US

V. Phone/Fax

Practice location:
  • Phone: 727-523-2365
  • Fax:
Mailing address:
  • Phone: 727-523-2365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2080H0002X
TaxonomyPediatric Hospice and Palliative Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAIDA BOUHAMID
Title or Position: CEO
Credential:
Phone: 941-552-7599