Organization
AHP OF HOLLYWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WACHOWIAK (PRESIDENT)
(770) 945-5330
Entity
Organization
Contact information
Practice address
3079 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097-2215
(770) 945-5330
(678) 546-3606
Mailing address
1150 N 35TH AVE, SUITE 455, HOLLYWOOD, FL 33021-5424
(954) 961-7771
(954) 961-9633
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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