| Broward Quality Llc | |
|
6301 Pembroke Rd Hollywood FL 33023-2217 | |
| (954) 961-8394 | |
| (954) 241-0445 |
| Full Name | Broward Quality Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6301 Pembroke Rd, Hollywood, Florida |
| Authorized Official Name and Position | Rosa M Roca (ADMINISTRATOR) |
| Authorized Official Contact | 9549618394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Quality Llc 6301 Pembroke Rd Hollywood FL 33023-2217 Ph: (954) 961-8394 | Broward Quality Llc 6301 Pembroke Rd Hollywood FL 33023-2217 Ph: (954) 961-8394 |
| NPI Number | 1407841091 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407841091 | NPI | - | NPPES |
| 114506 | Other | FL | HUMANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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