# SOUTH HOLLYWOOD PHYSICIANS GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205382835
- **Authorized official:** DR. ROBERT SANCHEZ (CEO)
- **Authorized official phone:** (305) 726-1450

## Contact information

- **Practice address:** 3389 SHERIDAN STREET, SUITE 606, HOLLYWOOD, FL 33021
- **Practice address phone:** (954) 399-8417
- **Mailing address:** 3389 SHERIDAN STREET, SUITE 606, HOLLYWOOD, FL 33021
- **Mailing address phone:** (954) 399-8417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016