Provider Demographics
NPI:1215670898
Name:FLORIDA HOSPITAL PHYSICIAN GROUP INC
Entity type:Organization
Organization Name:FLORIDA HOSPITAL PHYSICIAN GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:PRESSWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-615-4237
Mailing Address - Street 1:900 HOPE WAY
Mailing Address - Street 2:ADVENTHEALTH MANAGED CARE
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-1502
Mailing Address - Country:US
Mailing Address - Phone:407-357-1874
Mailing Address - Fax:407-357-1679
Practice Address - Street 1:425 S 11TH ST
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853-4239
Practice Address - Country:US
Practice Address - Phone:863-679-2707
Practice Address - Fax:863-676-3621
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORIDA HOSPITAL PHYSICIAN GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty