Organization
NATIONAL NUCLEAR CENTERS, INC
Active
Other names
HOLLYWOOD DIAGNOSTICS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGEL L SOTO JR. (PRESIDENT)
(954) 966-3600
Entity
Organization
Contact information
Practice address
4224 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021
(954) 966-3600
(954) 967-1962
Mailing address
4224 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021
(954) 966-3600
(954) 967-1962
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
HCC3753
FL
261QR0200X
Radiology Clinic/Center
HCCR3753
FL
261QR0208X
Mobile Radiology Clinic/Center
HCC8933
FL
293D00000X
Physiological Laboratory
Primary
HCC3753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008641100
—
FL
Enumeration date
09/27/2005
Last updated
01/24/2018
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