Organization
CHILDRENS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE MORRISON MD (PRESIDENT)
(954) 989-6000
Entity
Organization
Contact information
Practice address
4651 SHERIDAN ST, SUITE 270, HOLLYWOOD, FL 33021-3457
(954) 989-6000
(954) 378-4775
Mailing address
4651 SHERIDAN ST, SUITE 270, HOLLYWOOD, FL 33021-3457
(954) 989-6000
(954) 378-4775
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
ME14634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060425900
—
FL
Enumeration date
01/05/2007
Last updated
10/14/2008
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