Healthcare Provider Details

I. General information

NPI: 1023211471
Provider Name (Legal Business Name): LEUNG HEALTH CARE HOLLYWOOD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 S FEDERAL HWY
HOLLYWOOD FL
33020-5438
US

IV. Provider business mailing address

888 NE 126TH ST SUITE 101
NORTH MIAMI FL
33161-4964
US

V. Phone/Fax

Practice location:
  • Phone: 954-921-5553
  • Fax: 954-921-5582
Mailing address:
  • Phone: 305-710-5426
  • Fax: 305-899-1352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. THERESA K LEUNG
Title or Position: PRESIDENT
Credential:
Phone: 954-921-5553