| Broward Medical Center Group, Inc | |
|
5920 Johnson St Ste 104 Hollywood FL 33021-5652 | |
| (954) 985-0985 | |
| Not Available |
| Full Name | Broward Medical Center Group, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 5920 Johnson St, Hollywood, Florida |
| Authorized Official Name and Position | Natalia Mena (PRESIDENT) |
| Authorized Official Contact | 9549850985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Medical Center Group, Inc 5920 Johnson St Ste 104 Hollywood FL 33021-5652 Ph: (954) 985-0985 | Broward Medical Center Group, Inc 5920 Johnson St Ste 104 Hollywood FL 33021-5652 Ph: (954) 985-0985 |
| NPI Number | 1013222165 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 08/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013222165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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