Healthcare Provider Details

I. General information

NPI: 1851453161
Provider Name (Legal Business Name): HOLLYWOOD BIRTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 06/01/2022
Certification Date: 11/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 HOLLYWOOD BLVD
HOLLYWOOD FL
33020-6703
US

IV. Provider business mailing address

2316 HOLLYWOOD BLVD
HOLLYWOOD FL
33020-6703
US

V. Phone/Fax

Practice location:
  • Phone: 954-925-4499
  • Fax: 954-925-2756
Mailing address:
  • Phone: 954-925-4499
  • Fax: 954-925-2756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBBIE MARIN
Title or Position: PRESIDENT LICENSED MIDWIFE
Credential: L.M.
Phone: 954-925-4499