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Organization
FLORIDA HOSPITAL WATERMAN INC
Active
Organization
FLORIDA HOSPITAL WATERMAN INC
Active
Other names
Florida Hospital Waterman, AdventHealth Waterman
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRII KORCHUK (CHIEF FINANCIAL OFFICER)
(303) 524-5645
Entity
Organization
Contact information
Practice address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3333
(352) 253-3153
Mailing address
770 W GRANADA BLVD STE 203, ORMOND BEACH, FL 32174-5179
(863) 231-4600
(386) 676-2560
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010109500
—
FL
01
—
101904
AVMED
FL
01
—
306
BLUE CROSS
FL
01
—
365068
BLACK LUNG
FL
Enumeration date
07/21/2006
Last updated
01/24/2025
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