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Organization
SEBASTIAN HOSPITAL LLC
Active
Organization
SEBASTIAN HOSPITAL LLC
Active
Other names
Sebastian River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
13695 US HIGHWAY 1, SEBASTIAN, FL 32958-3230
(772) 589-3186
(772) 388-3689
Mailing address
13695 US HIGHWAY 1, SEBASTIAN, FL 32958-3230
(772) 589-3186
(772) 388-3689
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012001400
—
FL
01
—
341
FL BLUE CROSS
FL
Enumeration date
05/27/2006
Last updated
01/28/2014
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