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	291U00000X	Clinical Medical Laboratory
2	261QR0200X	Radiology Clinic/Center
3	273Y00000X	Rehabilitation Hospital Unit	4069	FL
4	282N00000X	General Acute Care Hospital	4069	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	87762	OTHER	FL	UNITED HEALTHCARE #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	236	OTHER	FL	BLUE CROSS/BLUE SHIELD #
4	102085	OTHER	FL	AVMED PROVIDER #
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639197395
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	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-4603
Country	:	US
Telephone Number	:	954-771-8000
Fax Number	:	954-351-4727

Provider Business Practice Location Address
First Line	:	4725 N FEDERAL HWY
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-4603
Country	:	US
Telephone Number	:	954-771-8000
Fax Number	:	954-351-4727

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	PIERRE MONICE
Credential	:
Telephone Number	:	708-216-9297

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	03/09/2026

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