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Organization
HOLLYWOOD REGIONAL OPCO
Active
Organization
HOLLYWOOD REGIONAL OPCO
Active
Other names
HOLLYWOOD REGIONAL SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIKS KOGAN (MANAGING PARTNER)
(917) 288-4414
Entity
Organization
Contact information
Practice address
3475 SHERIDAN ST STE 104, HOLLYWOOD, FL 33021-3640
(631) 495-5262
Mailing address
1209 N ORANGE ST, WILMINGTON, DE 19801-1120
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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