NPI 1538324967

Hollywood Paradise Residence INC

Organisation Health Maintenance Organization Hollywood, FL

Practice location

Address: 1700 N 47th Ave, Hollywood, FL 33021-4122
Phone: (954) 624-5824
Mailing address: 1700 N 47th Ave, Hollywood, FL 33021

Authorised official

Name: Lyvie Noel
Title: Owner
Phone: (954) 624-5824

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 11323 (FL)

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Registry record

NPI: 1538324967
Entity type: Organization
NPI issued: 24 Jul 2008
Record last updated: 24 Jul 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.