Individual
MRS. SOLANGIE MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
330 S FLAMINGO RD, PEMBROKE PINES, FL 33027-1770
(954) 780-5566
(954) 780-5567
Mailing address
6517 TAFT ST, SUITE 103, HOLLYWOOD, FL 33024-4062
(954) 780-5566
(954) 780-5567
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
ME74274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
471141278
IRS DEPARTMENT OF TREASURY
FL
Enumeration date
10/14/2014
Last updated
10/14/2014
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