Organization
MARINERS HOSPITAL, INC
Active
Other names
Mariners Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DREW GROSSMAN (CHIEF EXECUTIVE OFFICER)
(786) 662-7111
Entity
Organization
Contact information
Practice address
91500 OVERSEAS HWY, TAVERNIER, FL 33070-2547
(305) 434-3000
Mailing address
6855 RED RD STE 600, CORAL GABLES, FL 33143-3518
(786) 662-7111
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
4061
FL
282NC0060X
Critical Access Hospital
Primary
4061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010121400
—
FL
01
—
251
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/01/2005
Last updated
09/02/2025
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