NPI 1164608360
Hollywood Pain Relief Dispensary
Practice location
- Address
- 3391 Sheridan St, Hollywood, FL 33021-3606
- Phone
- (954) 963-2550
- Mailing address
- PO Box 4688, Fort Lauderdale, FL 33338-4688
Authorised official
- Name
- Cicely D Eason
- Title
- Executive Administrator
- Phone
- (561) 789-4911
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1164608360
- Entity type
- Organization
- NPI issued
- 17 Jan 2008
- Record last updated
- 7 May 2008
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.