Memorial Regional Hospital | |
3400 N. 29 Avenue Hollywood FL 33020 | |
(954) 965-6408 | |
(954) 965-6444 |
Full Name | Memorial Regional Hospital |
---|---|
Speciality | Social Worker - Clinical |
Location | 3400 N. 29 Avenue, Hollywood, Florida |
Authorized Official Name and Position | Tammy Lee Tucker (ASSOCIATE ADMINISTRATOR) |
Authorized Official Contact | 9542657231 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Memorial Regional Hospital 3400 N. 29 Avenue. Hollywood FL 33020 Ph: (954) 965-6408 | Memorial Regional Hospital 3400 N. 29 Avenue Hollywood FL 33020 Ph: (954) 965-6408 |
NPI Number | 1881992683 |
---|---|
Provider Enumeration Date | 03/03/2011 |
Last Update Date | 03/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881992683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW00002945 (Florida) | Primary |
News Archive
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