Organization
BRISTOL HOSPICE - MIAMI DADE, LLC
Active
Organization
BRISTOL HOSPICE - MIAMI DADE, LLC
Active
Parent organization
BRISTOL HOSPICE, L.L.C.
Other names
Bristol Hospice - North Miami
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRISTOL HOSPICE, L.L.C.
Authorized official
ALEX MAURICIO (CEO AND PRESIDENT)
(801) 325-0175
Entity
Organization
Contact information
Practice address
5201 BLUE LAGOON DR, SUITE 570, MIAMI, FL 33126-2064
(801) 656-2769
(501) 478-3588
Mailing address
206 N 2100 W, SUITE 202, SALT LAKE CITY, UT 84116-4740
(801) 325-0175
(801) 478-3588
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105421900
—
FL
Enumeration date
02/09/2017
Last updated
09/27/2023
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