Provider Demographics
NPI:1831541945
Name:HILLSBOROUGH PALLIATIVE CARE, LLC
Entity type:Organization
Organization Name:HILLSBOROUGH PALLIATIVE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CHIEF EXECUTIVE OFFIC
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-845-5707
Mailing Address - Street 1:2061 COLLIER PKWY
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-5202
Mailing Address - Country:US
Mailing Address - Phone:727-845-5707
Mailing Address - Fax:727-484-7932
Practice Address - Street 1:2061 COLLIER PKWY
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-5202
Practice Address - Country:US
Practice Address - Phone:727-845-5707
Practice Address - Fax:727-484-7932
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GULFSIDE HOSPICE & PASCO PALLIATIVE CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5005096171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty