MEDICARE: FLORIDA POST ACUTE MEDICAL SERVICES 1 PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TC0700X	Clinical Psychologist
2	103TP0016X	Prescribing (Medical) Psychologist
3	208M00000X	Hospitalist Physician

General Provider Information

NPI Number	:	1255862439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA POST ACUTE MEDICAL SERVICES 1 PA

Provider Business Mailing Address
First Line	:	1643 NW 136TH AVENUE
Second Line	:	BUILDING H, SUITE 100
City	:	SUNRISE
State	:	FL
Zip	:	33323-3157
Country	:	US
Telephone Number	:	865-693-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 W WILDER AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-6809
Country	:	US
Telephone Number	:	813-766-4018
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES HORST
Credential	:	DO
Telephone Number	:	865-693-1000

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	08/13/2025

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