Organization
SOUTHEAST HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE BULIT LPN (PRESIDENT)
(954) 894-0633
Entity
Organization
Contact information
Practice address
5100 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6538
(954) 894-0633
Mailing address
5100 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6538
(954) 894-0633
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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