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Organization
BROWARD PALM MEDICAL CENTER 1, LLC
Active
Organization
BROWARD PALM MEDICAL CENTER 1, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANTIAGO MOISES (DIRECTOR OF CENTERS OPERATIONS)
(786) 362-4173
Entity
Organization
Contact information
Practice address
6849 TAFT STREET, HOLLYWOOD, FL 33024
(303) 913-7300
(305) 362-4776
Mailing address
6849 TAFT ST, HOLLYWOOD, FL 33024-5601
(305) 913-7300
(305) 362-4776
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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