HOLLYWOOD MEDICAL CLINIC LLC (NPI# 1770894453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770894453 |
| Entity Type | Organization |
| Organization Name | HOLLYWOOD MEDICAL CLINIC LLC |
| Practice Address |
750 S Federal Hwy Hollywood FL 33020-5424 |
| Practice Telephone | 9543428800 |
| Practice Fax Number | 9543428100 |
| Mailing Telephone | 9543428800 |
| Mailing Fax Number | 9543428100 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | DR. SANDRO BACCHELLI (MBR) |
| Authorized Official Telephone | 9543428800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
L02000023475 | FL | Ambulatory Health Care Facilities |
| Street Address |
750 S FEDERAL HWY |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700093 | Miguel A De La Rua | Nurse Practitioner | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2019-09-25 |
| 1285031096 | International Patient Care, Inc | Clinic/Center | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2014-11-21 |
| 1821400730 | Yunior Y Silva Barrero | Social Worker | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2014-05-27 |
| 1831450220 | Action Physical Therapy, LLC. | Physical Therapist | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2012-06-02 |
| 1376862987 | Linda Jean | Family Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2010-05-21 |
| 1063694446 | Clinique Medmanagement Group, LLC | Family Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2007-11-28 |
| 1871616862 | Hossein Farsad | Preventive Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2007-04-06 |
| 1215021944 | Leonel Martin Calderon | Family Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2006-10-03 |
| 1013015213 | Linda C Barreras | Nurse Practitioner | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2006-09-20 |
| 1134106487 | Sandro Bacchelli | Family Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841749454 | Md Now Medical Centers Inc | Clinic/Center | 2502 N State Rd 7, Hollywood, FL 33021 | 2016-09-23 |
| 1528482593 | 7-24 Urgent Care LLC | Clinic/Center | 7900 Nw 33rd St, Suite 101, Hollywood, FL 33024-2209 | 2014-02-12 |
| 1144593724 | Dayclinic Inc. | Clinic/Center | 4722 Van Buren St, Hollywood, FL 33021-7246 | 2012-02-13 |
| 1083260996 | South Florida Urgent Care Centers, LLC | Clinic/Center | 7369 Sheridan St Ste 100, Hollywood, FL 33024-2776 | 2019-08-15 |
| 1437643038 | Health Plus Urgent Care, Pa | Clinic/Center | 3105 N University Dr, Hollywood, FL 33024-2222 | 2018-06-18 |
| 1124528161 | Spearhead Healthcare Inc. | Clinic/Center | 5812 Hollywood Blvd, Hollywood, FL 33021-9998 | 2018-02-16 |
| 1255856308 | South Broward Hospital District | Clinic/Center | 1740 Sheridan St, Hollywood, FL 33020-2275 | 2017-08-10 |
| 1447616180 | Doctors Now LLC | Clinic/Center | 3990 Sheridan St, Suite 212, Hollywood, FL 33021-3661 | 2016-01-11 |
| 1285031096 | International Patient Care, Inc | Clinic/Center | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2014-11-21 |
| 1295971448 | Family Urgent Care of Hollywood, P.a. | Clinic/Center | 3700 Washington St, Suite #402, Hollywood, FL 33021-8256 | 2008-12-17 |
| Find all providers in HOLLYWOOD | ||||
Please comment or provide details below to improve the information on HOLLYWOOD MEDICAL CLINIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.