Healthcare Provider Details

I. General information

NPI: 1235079971
Provider Name (Legal Business Name): OSCEOLA REGIONAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4920 E IRLO BRONSON MEMORIAL HWY
SAINT CLOUD FL
34771-8723
US

IV. Provider business mailing address

4920 E IRLO BRONSON MEMORIAL HWY
SAINT CLOUD FL
34771-8723
US

V. Phone/Fax

Practice location:
  • Phone: 321-766-5400
  • Fax:
Mailing address:
  • Phone: 321-766-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID SHIMP
Title or Position: CEO
Credential:
Phone: 407-518-3601