Provider Demographics
NPI:1992751879
Name:NOTAMI HOSPITALS OF FLORIDA INC
Entity type:Organization
Organization Name:NOTAMI HOSPITALS OF FLORIDA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-719-9012
Mailing Address - Street 1:340 NW COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32055-4709
Mailing Address - Country:US
Mailing Address - Phone:386-719-9000
Mailing Address - Fax:386-719-7787
Practice Address - Street 1:340 NW COMMERCE DR
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-4709
Practice Address - Country:US
Practice Address - Phone:386-719-9000
Practice Address - Fax:386-719-7787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02064322Medicaid
FL111795OtherAMERIGROUP
GA000240952XMedicaid
FL103517OtherAVMED
FL11976800Medicaid
FL137OtherBLUE CROSS/HOPT