| Centro De Salud Primaria Llc | |
|
4801 Hollywood Blvd Suite B Hollywood FL 33021-6545 | |
| (954) 927-5382 | |
| Not Available |
| Full Name | Centro De Salud Primaria Llc |
|---|---|
| Speciality | General Practice |
| Location | 4801 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Andres Ozual (MANAGER) |
| Authorized Official Contact | 9549275382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Salud Primaria Llc 4801 Hollywood Blvd Suite B Hollywood FL 33021-6545 Ph: (954) 927-5382 | Centro De Salud Primaria Llc 4801 Hollywood Blvd Suite B Hollywood FL 33021-6545 Ph: (954) 927-5382 |
| NPI Number | 1649706110 |
|---|---|
| Provider Enumeration Date | 05/03/2017 |
| Last Update Date | 05/03/2017 |
| Medicare PECOS PAC ID | 8729354451 |
|---|---|
| Medicare Enrollment ID | O20171025002254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649706110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Andres B Ozual |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184739336 PECOS PAC ID: 4880797265 Enrollment ID: I20140422001833 |
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