# FAMILY MEDICAL CENTER OF HOLLYWOOD PA

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

## Provider details

- **NPI number:** 1790940864
- **Authorized official:** DR. MICHAEL JOACHIM MCKENZIE M.D. (PRESIDENT)
- **Authorized official phone:** (954) 889-0211

## Contact information

- **Practice address:** 4050 SHERIDAN ST, SUITE C, HOLLYWOOD, FL 33021-3561
- **Practice address phone:** (954) 889-0211
- **Practice address fax:** (954) 889-0213
- **Mailing address:** 4050 SHERIDAN ST, SUITE C, HOLLYWOOD, FL 33021-3561
- **Mailing address phone:** (954) 889-0211
- **Mailing address fax:** (954) 889-0213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME87219 | FL | Yes |

## Other

- **Enumeration date:** 07/28/2008
- **Last updated:** 09/16/2009