Provider Demographics
NPI:1720882780
Name:CORAL TERRACE HOSPITAL LLC
Entity type:Organization
Organization Name:CORAL TERRACE HOSPITAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REP
Authorized Official - Prefix:
Authorized Official - First Name:JEREMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARITZKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-239-7331
Mailing Address - Street 1:2901 STIRLING RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6529
Mailing Address - Country:US
Mailing Address - Phone:646-239-7331
Mailing Address - Fax:
Practice Address - Street 1:2500 SW 75TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2805
Practice Address - Country:US
Practice Address - Phone:305-264-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No283Q00000XHospitalsPsychiatric Hospital