Organization
LIFEPATH HOSPICE, INC.
Active
Other names
LifePath Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL BUCCIARELLI (VP, LEGAL SERVICES)
(813) 871-8075
Entity
Organization
Contact information
Practice address
12470 TELECOM DR STE 400, TEMPLE TERRACE, FL 33637-0904
(813) 877-2200
(813) 383-5041
Mailing address
12470 TELECOM DR STE 300W, ATTENTION: COMPLIANCE, TEMPLE TERRACE, FL 33637-0904
(813) 871-8400
(813) 871-8402
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
5018095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150022800
—
FL
Enumeration date
01/19/2007
Last updated
07/31/2025
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