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NPI Code Detail

MEDICARE: VICTORIA HEALTHCARE INC

MEDICARE: VICTORIA HEALTHCARE 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
1282E00000XLong Term Care Hospital4469FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1595OTHERFLBLUE CROSS FL
2SG071214OTHERFLVISTA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4271538OTHERFLAMERIGROUP
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174523815
Entity Type Code : Organization
Provider Name (Legal Business Name) : VICTORIA HEALTHCARE INC
Provider Business Mailing Address
First Line : 4714 GETTYSBURG RD
Second Line : LEGAL DEPT.
City : MECHANICSBURG
State : PA
Zip : 17055-4325
Country : US
Telephone Number : 717-972-1100
Fax Number : 717-975-9981
Provider Business Practice Location Address
First Line : 955 NW 3RD ST
Second Line :
City : MIAMI
State : FL
Zip : 33128-1274
Country : US
Telephone Number : 305-416-5737
Fax Number : 305-545-8556
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. JOHN DUGGAN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 07/22/2005
Last Update Date : 09/10/2025

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Directions to “VICTORIA HEALTHCARE INC ” Practice Location

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