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Organization

HOLLYWOOD PT ASSOCIATES, INC.

Active
Other names
Performance Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALBERTO ANTONIO FUENTES II P.T. (VICE PRESIDENT)
(954) 560-1064
Entity
Organization

Contact information

Practice address
2303 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-6711
(954) 560-1064
Mailing address
2303 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-6711
(954) 560-1064

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
02/25/2007
Last updated
08/22/2020
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