Organization
TIDEWELL HOSPICE, INC.
Active
Other names
Empath Tidewell Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
SAIDA BOUHAMID (CFO)
(941) 552-7500
Entity
Organization
Contact information
Practice address
5955 RAND BLVD, SARASOTA, FL 34238-5160
(941) 552-7500
(941) 552-7520
Mailing address
5955 RAND BLVD, SARASOTA, FL 34238-5160
(941) 552-7500
(941) 926-1613
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
5028096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087527900
—
FL
05
—
087527908
—
FL
01
—
U12
BCBS
FL
Enumeration date
07/01/2005
Last updated
05/05/2023
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