Organization · Type 2 NPI

Hendry County Hospital Authority

Specialist · Clewiston, FL

NPI number 1336165935 Active

Practice location

540 W Sagamore Ave
Clewiston, FL 33440-3514

Fax (863) 983-2793

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	3995 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 other providers at this address

Other specialist providers in Clewiston

Hendry County Hospital AuthoritySpecialist Clewiston, FL NPI 1356360424

See all in Clewiston →

NPI record

NPI: 1336165935
Entity type: Organization (Type 2)
Issued: Jul 15, 2006
Last updated: Sep 29, 2025
Status: Active

Other names

<unavail>
Hendry Regional Cardiology & Vein Center · doing business as
Hendry Regional Cardiovascular and Vein Center · doing business as
Hendry Regional Specialty Group · doing business as

Authorized official

David Michael Theroux
COO
(863) 902-3051

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336165935

Hendry County Hospital Authority's National Provider Identifier is 1336165935, issued on Jul 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Clewiston, FL. The record was last updated on Sep 29, 2025.