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NPI Code Detail

MEDICARE: SACRED HEART HEALTH SYSTEM, INC.

MEDICARE: SACRED HEART HEALTH SYSTEM, 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
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1831847490
Entity Type Code : Organization
Provider Name (Legal Business Name) : SACRED HEART HEALTH SYSTEM, INC.
Provider Business Mailing Address
First Line : 400 MILESTONE BLVD
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-6579
Country : US
Telephone Number : 850-746-0200
Fax Number :
Provider Business Practice Location Address
First Line : 400 MILESTONE BLVD
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-6579
Country : US
Telephone Number : 850-746-0200
Fax Number : 850-746-0222
Authorized Official
Title or Position : ENROLLMENT MANAGER
Name : MIRANDA HEMM
Credential :
Telephone Number : 904-450-6004
Provider Enumeration Date : 03/14/2022
Last Update Date : 03/14/2022

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Directions to “SACRED HEART HEALTH SYSTEM, INC. ” Practice Location

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