Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Other names
A.G. Holley Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA GOMEZ (MEDICAL ADMIN. SERVICES COORDINATOR)
(561) 540-3377
Entity
Organization
Contact information
Practice address
1199 W LANTANA RD, LANTANA, FL 33462-1514
(561) 582-5666
(561) 540-3788
Mailing address
1199 W LANTANA RD, LANTANA, FL 33462-1514
(561) 582-5666
(561) 540-3788
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
3979
FL
Other
Enumeration date
01/31/2006
Last updated
03/21/2008
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