MEDICARE: COREMEDY HOSPITALISTS LLC

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	208M00000X	Hospitalist Physician

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

General Provider Information

NPI Number	:	1659513877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COREMEDY HOSPITALISTS LLC

Provider Business Mailing Address
First Line	:	13510 CARRYBACK DR
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-6277
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13510 CARRYBACK DR
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-6277
Country	:	US
Telephone Number	:	352-666-8089
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	GERALD WILLIAM BEINHAUER JR.
Credential	:
Telephone Number	:	352-666-8089

Provider Enumeration Date	:	04/02/2009
Last Update Date	:	01/05/2026

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