Xcentricare, LLC
Clinic/Center, Primary Care in Hollywood, FL. Organization (NPI-2).
NPI number1972394740
StatusActive
Last updated in NPPESMay 13, 2025
Details
- NPI
- 1972394740
- Entity type
- Organization (NPI-2)
- Legal business name
- Xcentricare, LLC
- Organization subpart
- No
- Enumeration date
- May 13, 2025
- Certification date
- May 13, 2025
- Last updated
- May 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
4401 Sheridan St Ste XHollywood, FL 33021-3513
Phone 954-989-3913
Mailing address
4401 Sheridan St Ste XHollywood, FL 33021-3513
Phone 561-632-2279
Authorized official
Charity Mowery
Owner/Provider
9549893913
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