Bewell Medical Center LLC
Clinic/Center, Primary Care in Hollywood, FL. Organization (NPI-2).
NPI number1275214744
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1275214744
- Entity type
- Organization (NPI-2)
- Legal business name
- Bewell Medical Center LLC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2023
- Certification date
- Jul 27, 2023
- Last updated
- Jul 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
4700 Sheridan St Ste RHollywood, FL 33021-3416
Phone 786-797-9475
Mailing address
7012 Nw 179th St Apt 208Hialeah, FL 33015-5416
Phone 786-797-9475
Authorized official
Jany Gonzalez
Owner
7867979475
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