Organization
COMPLETE KETAMINE SOLUTIONS HOLLYWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT FLETCHER CRNA (OWNER)
(615) 300-3096
Entity
Organization
Contact information
Practice address
2450 HOLLYWOOD BLVD STE 701, HOLLYWOOD, FL 33020-6628
(954) 367-5316
(954) 367-5374
Mailing address
2450 HOLLYWOOD BLVD STE 701, HOLLYWOOD, FL 33020-6628
(954) 367-5316
(954) 367-5374
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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