# DESOTO MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346490273
- **Authorized official:** VINCE SICA (CEO/PRESIDENT)
- **Authorized official phone:** (863) 494-3535

## Contact information

- **Practice address:** 900 N ROBERTS AVE, ARCADIA, FL 34266-8712
- **Practice address phone:** (863) 494-3535
- **Practice address fax:** (863) 491-4244
- **Mailing address:** 900 N ROBERTS AVE, ARCADIA, FL 34266-8712
- **Mailing address phone:** (863) 494-3535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 4218 | FL | Yes |

## Other

- **Enumeration date:** 09/29/2008
- **Last updated:** 09/29/2008