MEDICARE: STERLING HOSPITALISTS OF FLORIDA PA

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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	94773B	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1710938386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STERLING HOSPITALISTS OF FLORIDA PA

Provider Business Mailing Address
First Line	:	PO BOX 863480
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32886-3480
Country	:	US
Telephone Number	:	800-514-1494
Fax Number	:	904-805-1456

Provider Business Practice Location Address
First Line	:	901 45TH ST
Second Line	:
City	:	WEST PALM BCH
State	:	FL
Zip	:	33407-2413
Country	:	US
Telephone Number	:	561-844-6300
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	EUGENE DAUCHERT JR.
Credential	:
Telephone Number	:	919-768-4392

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	04/20/2008

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