Dishmey-Health LLC
Clinic/Center, Primary Care in Hollywood, FL. Organization (NPI-2).
NPI number1104765205
StatusActive
Last updated in NPPESMar 25, 2026
Details
- NPI
- 1104765205
- Entity type
- Organization (NPI-2)
- Legal business name
- Dishmey-Health LLC
- Organization subpart
- No
- Enumeration date
- Mar 25, 2026
- Certification date
- Mar 25, 2026
- Last updated
- Mar 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
1010 S 63rd AveHollywood, FL 33023-1738
Phone 754-366-5831
Mailing address
1010 S 63rd AveHollywood, FL 33023-1738
Phone 754-366-5831
Authorized official
Ezequiel Dishmey
Owner
7543665831
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