Organization
HOSPICE BY THE SEA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB J SPRUIT JR. (CHIEF FINANCIAL OFFICER)
(561) 416-5014
Entity
Organization
Contact information
Practice address
1531 W PALMETTO PARK RD, BOCA RATON, FL 33486-3307
(561) 395-5031
(561) 373-7137
Mailing address
1531 W PALMETTO PARK RD, BOCA RATON, FL 33486-3307
(561) 395-5031
(561) 373-7137
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
5011096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087529500
—
FL
Enumeration date
07/07/2005
Last updated
12/02/2011
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