Organization
FLORIDIAN HOSPITALIST SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM H LARSEN (DIRECTOR OF CREDENTIALING)
(770) 874-5468
Entity
Organization
Contact information
Practice address
151 E REDSTONE AVE, CRESTVIEW, FL 32539-5352
(850) 689-8100
Mailing address
PO BOX 21201, BELFAST, ME 04915-4109
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
01/20/2020
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