Provider Demographics
NPI:1992759419
Name:HCA HEALTH SERVICES OF FLORIDA, INC.
Entity type:Organization
Organization Name:HCA HEALTH SERVICES OF FLORIDA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-819-2929
Mailing Address - Street 1:14000 FIVAY RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-7103
Mailing Address - Country:US
Mailing Address - Phone:727-819-2929
Mailing Address - Fax:727-869-5491
Practice Address - Street 1:14000 FIVAY RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-7103
Practice Address - Country:US
Practice Address - Phone:727-819-2929
Practice Address - Fax:727-869-5491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA300039854EMedicaid
FL579OtherBLUE CROSS
FL000030951OtherHUMANA
OH0581106Medicaid
MI304960525Medicaid
PA1007294580003Medicaid
MI404960534Medicaid
031184500OtherBLACK LUNG
GA000593832XMedicaid
0065658OtherAETNA
FL011988100Medicaid
20482OtherWELLCARE/STAYWELL
ALREG0256NMedicaid
FL579OtherBLUE CROSS
MI304960525Medicaid