Organization
DESOTO MEMORIAL HOSPITAL INC
Active
Other names
DESOTO MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT A SICA (CEO)
(863) 494-8403
Entity
Organization
Contact information
Practice address
900 N ROBERTS AVE, ARCADIA, FL 34266-8765
(863) 494-3535
(863) 491-4328
Mailing address
900 N ROBERTS AVE, ARCADIA, FL 34266-8765
(863) 494-3535
(863) 491-4328
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
4218
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010192300
—
FL
05
—
057132600
—
FL
01
—
99545
MEDICARE
FL
Enumeration date
08/20/2006
Last updated
07/12/2010
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