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NPI Code Detail

MEDICARE: SPRINGBROOK HOSPITAL

MEDICARE: SPRINGBROOK 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
1273R00000XPsychiatric Hospital Unit4205FL

General Provider Information

NPI Number : 1063422327
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRINGBROOK HOSPITAL
Provider Business Mailing Address
First Line : 7007 GROVE RD
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34609-8610
Country : US
Telephone Number : 352-596-4306
Fax Number :
Provider Business Practice Location Address
First Line : 7007 GROVE RD
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34609-8610
Country : US
Telephone Number : 352-596-4306
Fax Number :
Authorized Official
Title or Position : DIRECTOR CBO
Name : JANICE MALINOWICZ
Credential : CMPAM
Telephone Number : 813-978-1933
Provider Enumeration Date : 08/09/2006
Last Update Date : 08/22/2020

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Directions to “SPRINGBROOK HOSPITAL ” Practice Location

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