- Enrollment id
- O20051103000251
- Enrollment state
- FL
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1124028204
- Multiple npi flag
- N
- Ccn
- 101508
- Associate id
- 5698677904
- Organization name
- THE HOSPICE OF THE FLORIDA SUNCOAST, INC.
- Doing business as name
- SUNCOAST HOSPICE
- Incorporation date
- 1977-06-07
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 2675 TAMPA RD
- City
- PALM HARBOR
- State
- FL
- Zip code
- 346843109