Organization
SEBASTIAN HOSPITAL LLC
Active
Other names
Sebastian River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
13695 US HIGHWAY 1, SEBASTIAN, FL 32958-3230
(772) 589-3186
(772) 388-3689
Mailing address
13695 US HIGHWAY 1, SEBASTIAN, FL 32958-3230
(772) 589-3186
(772) 388-3689
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012001400
—
FL
01
—
341
FL BLUE CROSS
FL
Enumeration date
05/27/2006
Last updated
01/28/2014
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