Healthcare Provider Details

I. General information

NPI: 1568565430
Provider Name (Legal Business Name): RADIOLOGY CONSULTANTS OF HOLLYWOOD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 S FEDERAL HWY FL 2
HOLLYWOOD FL
33020-6811
US

IV. Provider business mailing address

210 S FEDERAL HWY STE 403
HOLLYWOOD FL
33020-6811
US

V. Phone/Fax

Practice location:
  • Phone: 954-927-1776
  • Fax: 954-927-0069
Mailing address:
  • Phone: 954-929-3449
  • Fax: 954-929-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK GRNJA
Title or Position: PRESIDENT
Credential:
Phone: 954-612-7502