Organization
SAWGRASS HOSPITALIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL SEGUNDO BRICENO M.D. (PRESIDENT)
(610) 331-0782
Entity
Organization
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
(954) 964-6084
Mailing address
3093 NW 126TH AVE, SUNRISE, FL 33323-6342
(610) 331-0782
(954) 964-6084
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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