Provider Demographics
NPI:1184737405
Name:FOREST HILLS HEALTH CARE INC
Entity type:Organization
Organization Name:FOREST HILLS HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PRAVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:813-932-4381
Mailing Address - Street 1:116 W BOUGAINVILLEA AVENUE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-7437
Mailing Address - Country:US
Mailing Address - Phone:813-932-4381
Mailing Address - Fax:813-933-6875
Practice Address - Street 1:116 W BOUGAINVILLEA AVENUE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7437
Practice Address - Country:US
Practice Address - Phone:813-932-4381
Practice Address - Fax:813-933-6875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00887Medicare ID - Type Unspecified