Organization
TIDEWELL HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAIDA BOUHAMID (CFO)
(941) 552-7599
Entity
Organization
Contact information
Practice address
5955 RAND BLVD, SARASOTA, FL 34238-5160
(941) 552-7500
Mailing address
5955 RAND BLVD, SARASOTA, FL 34238-5160
(941) 552-7500
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087527908
—
FL
Enumeration date
09/23/2021
Last updated
07/02/2025
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