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Organization

CORNERSTONE HOSPICE & PALLIATIVE CARE INC

Active
Other names
Hospice of Lake & Sumter
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL BUCCIARELLI (VP, LEGAL SERVICES)
(813) 871-8075
Entity
Organization

Contact information

Practice address
2445 LANE PARK RD, TAVARES, FL 32778-9648
(352) 343-1341
(352) 343-0325
Mailing address
2445 LANE PARK RD, TAVARES, FL 32778-9648
(352) 343-1341
(352) 343-0325

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
5019096
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
087526100
FL
01
U30
BLUE CROSSBLUE SHIELD
Enumeration date
01/16/2007
Last updated
08/01/2025
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