Basic Information
| Provider Information | |||||||||
| NPI: | 1013382860 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5996 SW 70TH ST | ||||||||
| Address2: | 5TH FLOOR | ||||||||
| City: | SOUTH MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331433540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052847701 | ||||||||
| FaxNumber: | 3052847545 | ||||||||
| Practice Location | |||||||||
| Address1: | 1475 W 49TH PL | ||||||||
| Address2: | |||||||||
| City: | HIALEAH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330123113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055582500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/04/2015 | ||||||||
| LastUpdateDate: | 12/04/2015 | ||||||||
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| AuthorizedOfficialLastName: | SOSA-GUERRERO | ||||||||
| AuthorizedOfficialFirstName: | SANDRA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3052847701 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | FACHE, BSN, MBA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 4065 | FL | Y | Hospitals | General Acute Care Hospital |
No ID Information.