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General NPI Number Information
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NPI Number | 1568565430
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Entity Type | Organization
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Legal Business Name | RADIOLOGY CONSULTANTS OF HOLLYWOOD INC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 210 S FEDERAL HWY FL 2
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6811
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Country | US
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Telephone | 954-927-1776
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Fax | 954-927-0069
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Provider Business Mailing Address
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Address Line | 210 S FEDERAL HWY STE 403
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6811
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Country | US
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Telephone | 954-929-3449
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Fax | 954-929-2001
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK GRNJA
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Credential |
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Telephone | 954-612-7502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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