Organization
UNIVIDA HALLANDALE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERMANN J LANGE (SR MEM)
(954) 505-5009
Entity
Organization
Contact information
Practice address
2500 E HALLANDALE BEACH BLVD STE QR, HALLANDALE BEACH, FL 33009-4834
(954) 505-5009
(786) 677-0104
Mailing address
2500 E HALLANDALE BEACH BLVD STE QR, HALLANDALE BEACH, FL 33009-4834
(954) 505-5009
(786) 677-0104
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
09/16/2024
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