MEDICARE: FLORIDA HOSPITAL

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	RN9183539	FL

General Provider Information

NPI Number	:	1033239991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA HOSPITAL

Provider Business Mailing Address
First Line	:	3565 S MAGNOLIA AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-6279
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3565 S MAGNOLIA AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-6279
Country	:	US
Telephone Number	:	407-303-1534
Fax Number	:

Authorized Official
Title or Position	:	R.N.
Name	:	MISS DONNA LOUISE SERZEN
Credential	:	R.N.
Telephone Number	:	321-945-3805

Provider Enumeration Date	:	04/01/2007
Last Update Date	:	08/22/2020

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Directions to “FLORIDA HOSPITAL ” Practice Location

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