Healthcare Provider Details

I. General information

NPI: 1609811009
Provider Name (Legal Business Name): HOSPICE AND PALLIATIVE PHYSICIAN SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 03/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4644 KEYSVILLE AVE
SPRING HILL FL
34608-3515
US

IV. Provider business mailing address

4644 KEYSVILLE AVE
SPRING HILL FL
34608-3515
US

V. Phone/Fax

Practice location:
  • Phone: 352-650-2250
  • Fax: 352-666-4216
Mailing address:
  • Phone: 352-650-2250
  • Fax: 352-666-4216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. DAVID M MCGREW
Title or Position: PRESIDENT
Credential: MD
Phone: 352-650-2250