| NPI | 1194910414 |
|---|---|
| Doing Business As | FLORIDA HOSPITAL CENTRA CARE - FORMOSA |
| Entity Type | Organization |
| Authorized Contact | SCOTT C. BRADY President 407-200-2860 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME 38110) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2020-02-05 |