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Organization
HOLLYWOOD MEDICAL CENTER, INC.
Active
Organization
HOLLYWOOD MEDICAL CENTER, INC.
Active
Other names
Hollywood Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS E. RABE (VP OF TAXATION, TENET HEALTHCARE)
(469) 893-2530
Entity
Organization
Contact information
Practice address
3600 WASHINGTON ST, HOLLYWOOD, FL 33021-8216
(954) 966-4500
Mailing address
PO BOX 532976, ATLANTA, GA 30353-2976
(561) 982-2189
(954) 985-6245
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4416
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009279
AVMED
—
05
—
011179100
—
FL
01
—
080087
HUMANA
—
01
—
100225B000000
SECTION 1011
—
05
—
1611343
—
NY
01
—
280
BCBS OF FLORIDA
—
01
—
433263410
AETNA US HEALTHCARE (NATI
—
01
—
990121
NEIGHBORHOOD HEALTH PLAN
—
Enumeration date
07/05/2006
Last updated
12/05/2018
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