Hollywood Clinic Corp
Clinic/Center, Multi-Specialty in Hialeah, FL. Organization (NPI-2).
NPI number1003312331
StatusActive
Last updated in NPPESApr 4, 2018
Details
- NPI
- 1003312331
- Entity type
- Organization (NPI-2)
- Legal business name
- Hollywood Clinic Corp
- Organization subpart
- No
- Enumeration date
- Apr 4, 2018
- Last updated
- Apr 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | HCC11111 | FL | Yes |
Other names
- Sleep Disorder Diagnostic Center (Doing Business As)
Practice location
5941 Nw 173rd Dr Unit 7Hialeah, FL 33015-5110
Phone 305-817-1424 · Fax 305-817-1426
Mailing address
5941 Nw 173rd Dr Unit 7Hialeah, FL 33015-5110
Phone 305-817-1424 · Fax 305-817-1426
Authorized official
Celia Gonzalez
President
7865474546
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