Organization
PASCO REGIONAL MEDICAL CENTER, LLC
Active
Other names
Bayfront Health Dade City
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
13100 FORT KING RD, DADE CITY, FL 33525-5294
(352) 521-1000
(352) 521-4028
Mailing address
13100 FORT KING RD, DADE CITY, FL 33525-5294
(352) 521-1000
(352) 521-4028
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010959200
—
FL
Enumeration date
09/19/2005
Last updated
02/08/2018
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