Organization
BROWARD PALM MEDICAL CENTER 1, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANTIAGO MOISES (DIRECTOR OF CENTERS OPERATIONS)
(786) 362-4173
Entity
Organization
Contact information
Practice address
6849 TAFT STREET, HOLLYWOOD, FL 33024
(303) 913-7300
(305) 362-4776
Mailing address
6849 TAFT ST, HOLLYWOOD, FL 33024-5601
(305) 913-7300
(305) 362-4776
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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