Healthcare Provider Details

I. General information

NPI: 1861416521
Provider Name (Legal Business Name): HOSPICE INTEGRATED HEALTH SERVICES OF DISTICT VII B OF FLORIDA INC/
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4111 METRIC DR STE 4
WINTER PARK FL
32792-6829
US

IV. Provider business mailing address

4111 METRIC DR STE 4
WINTER PARK FL
32792-6829
US

V. Phone/Fax

Practice location:
  • Phone: 407-599-5079
  • Fax: 407-599-5080
Mailing address:
  • Phone: 407-599-5079
  • Fax: 407-599-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number50370963
License Number StateFL

VIII. Authorized Official

Name: MRS. BARBARA HINKLEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 407-599-5079