Broward Medical Center Group, Inc | |
5920 Johnson St Ste 104 Hollywood FL 33021-5652 | |
(954) 985-0985 | |
Not Available |
Full Name | Broward Medical Center Group, Inc |
---|---|
Speciality | Clinic/center |
Location | 5920 Johnson St, Hollywood, Florida |
Authorized Official Name and Position | Natalia Mena (PRESIDENT) |
Authorized Official Contact | 9549850985 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Broward Medical Center Group, Inc 5920 Johnson St Ste 104 Hollywood FL 33021-5652 Ph: (954) 985-0985 | Broward Medical Center Group, Inc 5920 Johnson St Ste 104 Hollywood FL 33021-5652 Ph: (954) 985-0985 |
NPI Number | 1013222165 |
---|---|
Provider Enumeration Date | 08/13/2010 |
Last Update Date | 08/13/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013222165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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