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
1	261QA1903X	Ambulatory Surgical Clinic/Center	1081	FL

General Provider Information

NPI Number	:	1568588713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLY CROSS HOSPITAL INC

Provider Business Mailing Address
First Line	:	1000 NE 56TH ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33334-4149
Country	:	US
Telephone Number	:	954-958-0635
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 NE 56TH ST
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33334-4149
Country	:	US
Telephone Number	:	954-958-0635
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	ROBERT CASALOU
Credential	:
Telephone Number	:	734-712-3792

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	01/14/2025

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