MEDICARE: CENTURY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1649499252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTURY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	6517 TAFT ST
Second Line	:	SUITE 200
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-4048
Country	:	US
Telephone Number	:	954-962-1016
Fax Number	:

Provider Business Practice Location Address
First Line	:	6517 TAFT ST
Second Line	:	SUITE 200
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-4048
Country	:	US
Telephone Number	:	954-962-1016
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. NELSON RAPALO
Credential	:
Telephone Number	:	954-962-1016

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

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Directions to “CENTURY MEDICAL CENTER ” Practice Location

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