Healthcare Provider Details

I. General information

NPI: 1003476169
Provider Name (Legal Business Name): HSS-FLORIDA PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 S STATE ROAD 7 STE 410
WELLINGTON FL
33414-9327
US

IV. Provider business mailing address

PO BOX 22076
NEW YORK NY
10087-2076
US

V. Phone/Fax

Practice location:
  • Phone: 561-657-4800
  • Fax:
Mailing address:
  • Phone: 212-606-1224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD CROWLEY
Title or Position: EXECUTIVE VP
Credential:
Phone: 561-657-4800