# CHILDRENS MEDICAL CENTER

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

## Provider details

- **NPI number:** 1710034376
- **Authorized official:** DR. THEODORE MORRISON MD (PRESIDENT)
- **Authorized official phone:** (954) 989-6000

## Contact information

- **Practice address:** 4651 SHERIDAN ST, SUITE 270, HOLLYWOOD, FL 33021-3457
- **Practice address phone:** (954) 989-6000
- **Practice address fax:** (954) 378-4775
- **Mailing address:** 4651 SHERIDAN ST, SUITE 270, HOLLYWOOD, FL 33021-3457
- **Mailing address phone:** (954) 989-6000
- **Mailing address fax:** (954) 378-4775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | ME14634 | FL | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 10/14/2008