MEDICARE: HSS-FLORIDA PHYSICIANS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2085R0202X	Diagnostic Radiology Physician
2	2085R0204X	Vascular & Interventional Radiology Physician
3	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1003476169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HSS-FLORIDA PHYSICIANS LLC

Provider Business Mailing Address
First Line	:	PO BOX 22076
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-2076
Country	:	US
Telephone Number	:	212-606-1224
Fax Number	:

Provider Business Practice Location Address
First Line	:	1395 S STATE ROAD 7 STE 410
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-9327
Country	:	US
Telephone Number	:	561-657-4800
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE VP
Name	:	MR. RICHARD CROWLEY
Credential	:
Telephone Number	:	561-657-4800

Provider Enumeration Date	:	06/19/2019
Last Update Date	:	01/20/2022

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