# DESOTO MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DeSoto Memorial Center for Family Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639261175
- **Authorized official:** MR. VINCENT A SICA (CEO)
- **Authorized official phone:** (863) 494-8403

## Contact information

- **Practice address:** 888 N ROBERTS AVE, ARCADIA, FL 34266-9580
- **Practice address phone:** (863) 494-8401
- **Practice address fax:** (863) 491-4328
- **Mailing address:** 888 N ROBERTS AVE, ARCADIA, FL 34266-9580
- **Mailing address phone:** (863) 494-8401
- **Mailing address fax:** (863) 491-4328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 4218 | FL | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 03/28/2011