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NPI Code Detail

MEDICARE: HOLY CROSS HOSPITAL INC

MEDICARE: HOLY CROSS 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
1207U00000XNuclear Medicine Physician4069FL
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician4069FL

Other Identifiers

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

General Provider Information

NPI Number : 1518126499
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLY CROSS HOSPITAL INC
Provider Business Mailing Address
First Line : 4725 N FEDERAL HWY
Second Line : PATHOLOGY DEPARTMENT
City : FT LAUDERDALE
State : FL
Zip : 33308-4603
Country : US
Telephone Number : 954-771-8000
Fax Number :
Provider Business Practice Location Address
First Line : 4725 N FEDERAL HWY
Second Line : PATHOLOGY DEPARTMENT
City : FT LAUDERDALE
State : FL
Zip : 33308-4603
Country : US
Telephone Number : 954-771-8000
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CEO
Name : ROBERT CASALOU
Credential :
Telephone Number : 734-712-3792
Provider Enumeration Date : 06/05/2008
Last Update Date : 03/09/2026

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Directions to “HOLY CROSS HOSPITAL INC ” Practice Location

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