Organization
FMCG MEDICAL CENTER, INC
Active
Other names
FMCG Medical Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIAN SOUTO ETC (OWNER)
(786) 859-1073
Entity
Organization
Contact information
Practice address
3500 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6809
(786) 859-1073
(305) 555-0000
Mailing address
3500 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6809
(786) 859-1073
(305) 555-0000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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