Basic Information
| Provider Information | |||||||||
| NPI: | 1386022648 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEALTHCARE NOW FLORIDA INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3890 TAMPA RD | ||||||||
| Address2: | SUITE 307 | ||||||||
| City: | PALM HARBOR | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346843676 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7277670940 | ||||||||
| FaxNumber: | 7277670937 | ||||||||
| Practice Location | |||||||||
| Address1: | 2128 34TH ST S | ||||||||
| Address2: | |||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337113224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7277670940 | ||||||||
| FaxNumber: | 7277670937 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2015 | ||||||||
| LastUpdateDate: | 05/07/2015 | ||||||||
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| AuthorizedOfficialLastName: | ROSARIO | ||||||||
| AuthorizedOfficialFirstName: | CRISTOBAL | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7277866155 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNameSuffix: | JR. | ||||||||
| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1300X | ME68810 | FL | Y | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No ID Information.