| NPI | 1750377552 |
|---|---|
| Doing Business As | HOLLYWOOD DIAGNOSTICS CENTER |
| Entity Type | Organization |
| Authorized Contact | ANGEL L SOTO President 954-966-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL HCC3753) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL hcc3753) |
| 261QR0200X Clinic/Center, Radiology (Licence: FL HCCR3753) | |
| 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL HCC8933) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2018-01-24 |