MEDICARE: SUN CITY HOSPITAL INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	031149000	OTHER		BLACK LUNG
3	20670	OTHER	GA	WELLCARE
4	30021737	OTHER	PA	KEYSTONE MERCY
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	20670	OTHER		WELLCARE/STAYWELL
7	88409	OTHER	GA	AMERIGROUP
8	0068900	OTHER		AETNA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	580	OTHER	FL	BLUE CROSS
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	000037941	OTHER	FL	HUMANA
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164476867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUN CITY HOSPITAL INC

Provider Business Mailing Address
First Line	:	4016 SUN CITY CENTER BLVD
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5256
Country	:	US
Telephone Number	:	813-634-3301
Fax Number	:	813-634-8712

Provider Business Practice Location Address
First Line	:	4016 STATE ROAD 674
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5256
Country	:	US
Telephone Number	:	813-634-3301
Fax Number	:	813-634-8712

Authorized Official
Title or Position	:	CFO
Name	:	KAMARIA SMITH-FRAYER
Credential	:
Telephone Number	:	813-634-3301

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	11/05/2025

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Directions to “SUN CITY HOSPITAL INC ” Practice Location

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