Healthcare Provider Details

I. General information

NPI: 1851561815
Provider Name (Legal Business Name): HOLLYWOOD HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 03/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 S FEDERAL HWY
HOLLYWOOD FL
33020-5401
US

IV. Provider business mailing address

795 S. FEDERAL HWY
HOLLYWOOD FL
33020-5401
US

V. Phone/Fax

Practice location:
  • Phone: 954-923-4646
  • Fax:
Mailing address:
  • Phone: 954-923-4646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberME0042889
License Number StateFL

VIII. Authorized Official

Name: DR. HUGO V. BEJAR
Title or Position: PRESIDENT
Credential: M.D.
Phone: 954-923-4646