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Organization
WINTER HAVEN HOSPITAL INC
Active
Organization
WINTER HAVEN HOSPITAL INC
Active
Other names
MID FLORIDA MEDICAL SERVIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MACDOUGALL (CHIEF FINANCIAL OFFICER)
(863) 293-1121
Entity
Organization
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
(863) 291-6719
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
(863) 291-6719
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
3974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010169900
—
FL
05
—
010169903
—
FL
01
—
507
BC UB
FL
01
—
98943
BC 1500
FL
01
—
Z23
BC REH
FL
Enumeration date
01/09/2007
Last updated
07/12/2011
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