# HOLLYWOOD MEDICAL CLINIC LLC

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

## Provider details

- **NPI number:** 1770894453
- **Authorized official:** DR. SANDRO BACCHELLI M.D. (MBR)
- **Authorized official phone:** (954) 342-8800

## Contact information

- **Practice address:** 750 S FEDERAL HWY, HOLLYWOOD, FL 33020-5424
- **Practice address phone:** (954) 342-8800
- **Practice address fax:** (954) 342-8100
- **Mailing address:** 750 S FEDERAL HWY, HOLLYWOOD, FL 33020-5424
- **Mailing address phone:** (954) 342-8800
- **Mailing address fax:** (954) 342-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | L02000023475 | FL | Yes |

## Other

- **Enumeration date:** 06/28/2010
- **Last updated:** 12/01/2011