NPI 1003312331

Hollywood Clinic Corp

Organisation Multi-Specialty Clinic/Center Hialeah, FL

Practice location

Address: 5941 NW 173rd Dr Unit 7, Hialeah, FL 33015-5110
Phone: (305) 817-1424
Fax: (305) 817-1426

Authorised official

Name: Celia Gonzalez
Title: President
Phone: (786) 547-4546

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X Licence HCC11111 (FL)

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Registry record

NPI: 1003312331
Entity type: Organization
NPI issued: 4 Apr 2018
Record last updated: 4 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.