Organization
PHYSICIANS OF HOLLYWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL GONZALEZ MD (OWNER)
(954) 228-6619
Entity
Organization
Contact information
Practice address
5201 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6422
(954) 716-9114
Mailing address
5201 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6422
(954) 228-6619
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
02/05/2026
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