MEDICARE: ATLANTIC SHORES HOSPITAL L.L.C.

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	283Q00000X	Psychiatric Hospital	4045	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1427002070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC SHORES HOSPITAL L.L.C.

Provider Business Mailing Address
First Line	:	4545 NORTH FEDERAL HIGHWAY
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33068
Country	:	US
Telephone Number	:	954-771-2711
Fax Number	:	954-493-9998

Provider Business Practice Location Address
First Line	:	4545 NORTH FEDERAL HIGHWAY
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33068
Country	:	US
Telephone Number	:	954-771-2711
Fax Number	:	954-493-9998

Authorized Official
Title or Position	:	SR VP CFO
Name	:	STEVE FILLTON
Credential	:
Telephone Number	:	610-768-3300

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	04/05/2016

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Directions to “ATLANTIC SHORES HOSPITAL L.L.C. ” Practice Location

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