Healthcare Provider Details
I. General information
NPI: 1548639396
Provider Name (Legal Business Name): LARKIN COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2015
Last Update Date: 09/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7031 SW 62ND AVE
SOUTH MIAMI FL
33143-4701
US
IV. Provider business mailing address
5996 SW 70TH ST
SOUTH MIAMI FL
33143-3540
US
V. Phone/Fax
- Phone: 305-284-7500
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MISS
SANDY
SOSA-GEURRERO
Title or Position: CEO
Credential: FACHE, RN, BSN, MBA
Phone: 305-284-7700