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NPI Code Detail

MEDICARE: LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS LLC

MEDICARE: LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS LLC
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
13336S0011XSpecialty Pharmacy
23336C0003XCommunity/Retail Pharmacy
33336H0001XHome Infusion Therapy PharmacyPH29927FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12160355OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215277439
Entity Type Code : Organization
Provider Name (Legal Business Name) : LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS LLC
Provider Business Mailing Address
First Line : 1475 W 49TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3222
Country : US
Telephone Number : 305-824-4771
Fax Number :
Provider Business Practice Location Address
First Line : 1475 W 49TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3222
Country : US
Telephone Number : 305-824-4780
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF PHARMACY
Name : GIJO MATHEW
Credential : PHARM.D, MBA,BCPS
Telephone Number : 305-824-4780
Provider Enumeration Date : 02/25/2013
Last Update Date : 03/16/2026

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Directions to “LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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