Organization
FLORIDA HOSPITAL WATERMAN INC
Active
Other names
Florida Hospital Waterman, AdventHealth Waterman
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRII KORCHUK (CHIEF FINANCIAL OFFICER)
(303) 524-5645
Entity
Organization
Contact information
Practice address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3333
(352) 253-3153
Mailing address
770 W GRANADA BLVD STE 203, ORMOND BEACH, FL 32174-5179
(863) 231-4600
(386) 676-2560
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010109500
—
FL
01
—
101904
AVMED
FL
01
—
306
BLUE CROSS
FL
01
—
365068
BLACK LUNG
FL
Enumeration date
07/21/2006
Last updated
01/24/2025
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