Organization
CENTURY MEDICAL CENTER OF SOUTH DADE ,L.L.C
Active
Other names
Hollywood Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARIDAD MIREYA GALLARDO PIMENTEL APRN (PRESIDENT)
(786) 461-1020
Entity
Organization
Contact information
Practice address
6565 TAFT ST STE 100, HOLLYWOOD, FL 33024-4000
(305) 642-1042
Mailing address
1645 SW 107TH AVE, MIAMI, FL 33165-7344
(305) 642-1042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
04/07/2021
Last updated
08/08/2022
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