Healthcare Provider Details
I. General information
NPI: 1710938386
Provider Name (Legal Business Name): STERLING HOSPITALISTS OF FLORIDA PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
901 45TH ST
WEST PALM BCH FL
33407-2413
US
IV. Provider business mailing address
PO BOX 863480
ORLANDO FL
32886-3480
US
V. Phone/Fax
- Phone: 561-844-6300
- Fax:
- Phone: 800-514-1494
- Fax: 904-805-1456
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EUGENE
DAUCHERT
JR.
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 919-768-4392