Organization
ASC HOLLYWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MERRITT (BILLING MANAGER)
(904) 619-2652
Entity
Organization
Contact information
Practice address
1025 E HALLANDALE BEACH BLVD STE 6-8, HALLANDALE BEACH, FL 33009-4478
(904) 320-0807
Mailing address
PO BOX 41226, JACKSONVILLE, FL 32203-1226
(904) 619-2652
(904) 561-2001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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