Florida Hospital Healthcare System, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

FLORIDA HOSPITAL HEALTHCARE SYSTEM, INC

Practice address

2600 Lucien Way
Maitland, FL 32751-7063

Phone

(407) 357-2097

NPI assigned

May 2, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rob Moon

Title

VP - Cfo Phso

Phone

(407) 357-1649

Specialties & licenses 1

Addresses

Other names 1

• AdventHealth Value Based Bundle Management, LLC Other name

Tax ID family

Adventhealth Value Based Bundle Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Hospital Healthcare System, Inc

  • Exclusive Provider Organization
  • Maitland, FL
  • NPI 1134315799
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1679218945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LUCIEN WAY",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LUCIEN WAY",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517063",
            "telephone_number": "407-357-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HOSPITAL HEALTHCARE SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "VP - CFO PHSO",
        "authorized_official_telephone_number": "407-357-1649",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Value Based Bundle Management, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AdventHealth Value Based Bundle Management, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Judith A Flanagan, ARNP
• Anne Hartman Fleming, OTR
• Brandi Olivia Fliegelman, MSW
• Florida Home Companion
• Florida Hospital Healthcare System, Inc
• Florida Medical
• Florida Pediatric Associates, LLC
• Florida Psychiatric Associates LLC
• Florida Vascular Consultants PA
• Florida Woman Care, LLC

• Exclusive Provider Organization in Maitland, FL
• Providers in Maitland, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.