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NPI Code Detail

MEDICARE: SOUTHERN WINDS HOSPITAL LLC

MEDICARE: SOUTHERN WINDS HOSPITAL 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
1283Q00000XPsychiatric Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285094813
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN WINDS HOSPITAL LLC
Provider Business Mailing Address
First Line : 4225 W 20TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5826
Country : US
Telephone Number : 305-558-9700
Fax Number : 305-362-5964
Provider Business Practice Location Address
First Line : 4225 W 20TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5826
Country : US
Telephone Number : 305-558-9700
Fax Number : 305-362-5964
Authorized Official
Title or Position : CFO
Name : ANDREW BRICK-TURIN
Credential :
Telephone Number : 305-558-9700
Provider Enumeration Date : 02/24/2016
Last Update Date : 12/02/2020

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Directions to “SOUTHERN WINDS HOSPITAL LLC ” Practice Location

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