Organization
BROWARD QUALITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSA M ROCA (ADMINISTRATOR)
(954) 961-8394
Entity
Organization
Contact information
Practice address
6301 PEMBROKE RD, HOLLYWOOD, FL 33023-2217
(954) 961-8394
(954) 241-0445
Mailing address
6301 PEMBROKE RD, HOLLYWOOD, FL 33023-2217
(954) 961-8394
(954) 241-0445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114506
HUMANA
FL
Enumeration date
09/20/2005
Last updated
08/22/2020
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