MEDICARE: OSCEOLA REGIONAL 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	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1417897158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSCEOLA REGIONAL HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	5597 LEE VISTA BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-3004
Country	:	US
Telephone Number	:	689-278-1234
Fax Number	:

Provider Business Practice Location Address
First Line	:	5597 LEE VISTA BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-3004
Country	:	US
Telephone Number	:	689-278-1234
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DAVID SHIMP
Credential	:
Telephone Number	:	407-518-3601

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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