Organization Active NPI

Florida Hospital Waterman Inc

Doing business as Adventhealth Waterman Special Transportation

  • Non-emergency Medical Transport (VAN)
  • Tavares, FL
National Provider Identifier
1891722641
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FLORIDA HOSPITAL WATERMAN INC
Doing business as
Adventhealth Waterman Special Transportation
Florida Hospital Waterman Special Transport
Practice address
2250 Huffstetler Dr
Tavares, FL 32778-5264
Phone
(352) 253-3880
Fax
(352) 253-3883
NPI assigned
Jun 27, 2006
Last updated
Sep 10, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA HOSPITAL WATERMAN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Terri Warren
Title
Cfo
Phone
(352) 253-3153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2250 Huffstetler Dr
Tavares, FL 32778-5264

Mailing address

2250 Huffstetler Dr Ste 2506
Tavares, FL 32778-5264
Phone (352) 253-3880

Other identifiers 1

IdentifierTypeStateIssuer
0894443-00MedicaidFL

Other names 2

  • ADVENTHEALTH WATERMAN SPECIAL TRANSPORTATION Doing business as
  • Florida Hospital Waterman Special Transport Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida Hospital Waterm4 organizations share this tax ID, including this one
Part of
Florida Hospital Waterm

Other organizations with this tax ID 3

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

Locations

2250 Huffstetler Dr
Ste 2506
Tavares, FL 32778

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1891722641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HUFFSTETLER DR STE 2506",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785264",
            "telephone_number": "352-253-3880",
            "fax_number": "352-253-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HUFFSTETLER DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785264",
            "telephone_number": "352-253-3880",
            "fax_number": "352-253-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HOSPITAL WATERMAN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA HOSPITAL WATERMAN INC",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "352-253-3153"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0894443-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH WATERMAN SPECIAL TRANSPORTATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Hospital Waterman Special Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.