Organization
HOLLYWOOD REGIONAL OPCO
Active
Other names
HOLLYWOOD REGIONAL SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIKS KOGAN (MANAGING PARTNER)
(917) 288-4414
Entity
Organization
Contact information
Practice address
3475 SHERIDAN ST STE 104, HOLLYWOOD, FL 33021-3640
(631) 495-5262
Mailing address
1209 N ORANGE ST, WILMINGTON, DE 19801-1120
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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