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General NPI Number Information
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NPI Number | 1861416521
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Entity Type | Organization
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Legal Business Name | HOSPICE INTEGRATED HEALTH SERVICES OF DISTICT VII B OF FLORIDA INC/
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4111 METRIC DR STE 4
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City | WINTER PARK
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State | FL
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Zip | 32792-6829
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Country | US
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Telephone | 407-599-5079
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Fax | 407-599-5080
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Provider Business Mailing Address
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Address Line | 4111 METRIC DR STE 4
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City | WINTER PARK
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State | FL
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Zip | 32792-6829
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Country | US
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Telephone | 407-599-5079
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Fax | 407-599-5080
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. BARBARA HINKLEY
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Credential |
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Telephone | 407-599-5079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 50370963
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License Number State | FL
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