Organization · NPI-2

Eastside Hospitalists INC

Hospitalist · Hollywood, FL

NPI number1285676957

StatusActive

Last updated in NPPESMar 27, 2024

Details

NPI: 1285676957
Entity type: Organization (NPI-2)
Legal business name: Eastside Hospitalists INC
Organization subpart: No
Enumeration date: Jun 10, 2006
Certification date: Mar 27, 2024
Last updated: Mar 27, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208M00000X	Hospitalist	–	–	Yes
363A00000X	Physician Assistant	–	–
363L00000X	Nurse Practitioner	–	–

Practice location

3501 Johnson St
Hollywood, FL 33021-5421

Phone 954-265-2000

Mailing address

1643 Nw 136th Ave Ste 100
Sunrise, FL 33323-2857

Phone 800-424-3672 · Fax 954-377-3042

Other practice locations

1901 Sw 172nd Ave
Miramar, FL 33029-5592

Phone 954-538-4800

Authorized official

Rohit Uppal
President
8004243672

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