Organization
BERT FISH MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL ALLRED (CFO)
(386) 424-5261
Entity
Organization
Contact information
Practice address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(386) 424-5000
Mailing address
401 PALMETTO ST, P.O. BOX 1350, NEW SMYRNA BEACH, FL 32168-7322
(386) 424-5000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010183400
—
FL
Enumeration date
06/18/2006
Last updated
05/15/2015
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