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Organization
HOLLYWOOD CLINIC CORP
Active
Organization
HOLLYWOOD CLINIC CORP
Active
Other names
Sleep Disorder Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CELIA GONZALEZ (PRESIDENT)
(786) 547-4546
Entity
Organization
Contact information
Practice address
5941 NW 173RD DR UNIT 7, HIALEAH, FL 33015-5110
(305) 817-1424
(305) 817-1426
Mailing address
5941 NW 173RD DR UNIT 7, HIALEAH, FL 33015-5110
(305) 817-1424
(305) 817-1426
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC11111
FL
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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