Florida Hospital Waterman Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

FLORIDA HOSPITAL WATERMAN INC

Practice address

201 County Rd 466a
Fruitland Park, FL 34731-5153

Phone

(352) 508-4235

NPI assigned

Sep 4, 2026

Organization subpart

No

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

Authorized official

Name

Andrii Korchuk

Title

Cfo

Phone

(352) 253-3300

Specialties & licenses 1

Addresses

Other names 1

• ADVENTHEALTH FRUITLAND PARK ER Doing business as

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1841109808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W GRANADA BLVD STE 203",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COUNTY RD 466A",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347315153",
            "telephone_number": "352-508-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HOSPITAL WATERMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "KORCHUK",
        "authorized_official_first_name": "ANDRII",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "352-253-3300"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH FRUITLAND PARK ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecah Lynn Farish
• Liza Marie Feliciano, D.M.D.
• Amanda Suzanne Ferragamo, RD
• Fivestar Medical Supplies, LLC
• Tina Marie Flannery
• Alyssa M Forst
• Gentle Sticks on Wheels
• Amy Giddens, OT/L
• Marquisa Denise Gillard
• Claudia Gonzalez

• General Acute Care Hospital in Fruitland Park, FL
• Providers in Fruitland Park, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.