Organization
HAINES CITY HMA LLC
Active
Other names
Heart of Florida Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
(863) 419-2259
Mailing address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
(863) 419-2259
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4385
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010228800
—
FL
01
—
550
BLUE CROSS
FL
Enumeration date
05/22/2006
Last updated
10/05/2017
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