Organization
HOLLYWOOD HEALTHCARE CORP
Active
Other names
Logimedix
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KUSHER (PRESIDENT)
(954) 349-9551
Entity
Organization
Contact information
Practice address
15851 SW 41ST ST, SUITE 700, DAVIE, FL 33331-1541
(954) 349-9551
(954) 349-9552
Mailing address
15851 SW 41ST ST, SUITE 700, DAVIE, FL 33331-1541
(954) 349-9551
(954) 349-9552
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH16241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00932654A
—
GA
05
—
100247010A
—
OK
05
—
100247010B
—
OK
05
—
200357480A
—
IN
05
—
2291970
—
OH
05
—
3388230
—
NV
05
—
4480718
—
MI
05
—
524128600
—
MN
05
—
54003371
—
KY
05
—
5605529
—
MT
05
—
636251
—
AZ
05
—
699759700
—
MD
05
—
806289500
—
ID
05
—
8771511
—
NJ
05
—
DME 100411330B
—
KS
05
—
K2125
—
NM
Enumeration date
08/21/2006
Last updated
12/22/2008
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