Organization
WINTER HAVEN HOSPITAL INC
Active
Other names
MID FLORIDA MEDICAL SERVIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MACDOUGALL (CHIEF FINANCIAL OFFICER)
(863) 293-1121
Entity
Organization
Contact information
Practice address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
(863) 291-6719
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
(863) 291-6719
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
3974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010169900
—
FL
05
—
010169903
—
FL
01
—
507
BC UB
FL
01
—
98943
BC 1500
FL
01
—
Z23
BC REH
FL
Enumeration date
01/09/2007
Last updated
07/12/2011
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