# HOLLYWOOD CLINIC CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sleep Disorder Diagnostic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003312331
- **Authorized official:** MR. CELIA GONZALEZ (PRESIDENT)
- **Authorized official phone:** (786) 547-4546

## Contact information

- **Practice address:** 5941 NW 173RD DR UNIT 7, HIALEAH, FL 33015-5110
- **Practice address phone:** (305) 817-1424
- **Practice address fax:** (305) 817-1426
- **Mailing address:** 5941 NW 173RD DR UNIT 7, HIALEAH, FL 33015-5110
- **Mailing address phone:** (305) 817-1424
- **Mailing address fax:** (305) 817-1426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | HCC11111 | FL | Yes |

## Other

- **Enumeration date:** 04/04/2018
- **Last updated:** 04/04/2018