# CENTRO DE SALUD PRIMARIA LLC

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

## Provider details

- **NPI number:** 1649706110
- **Authorized official:** ANDRES OZUAL M.D. (MANAGER)
- **Authorized official phone:** (954) 927-5382

## Contact information

- **Practice address:** 4801 HOLLYWOOD BLVD, SUITE B, HOLLYWOOD, FL 33021-6545
- **Practice address phone:** (954) 927-5382
- **Mailing address:** 4801 HOLLYWOOD BLVD, SUITE B, HOLLYWOOD, FL 33021-6545
- **Mailing address phone:** (954) 927-5382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2017
- **Last updated:** 05/03/2017