Provita Physician Group Corp
Provita Physician Group Corp is a Clinic/Center in Hollywood, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3157 N University Dr Ste 103Hollywood, FL 33024-2258
Phone: (954) 322-8985
Fax: (954) 322-8981
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1992435622 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Provita Physician Group Corp |
| Authorized official | Ileana Delgado — Office Manager · (305) 878-9072 |
| NPI enumerated | June 15, 2022 |
| Last updated in NPPES | March 7, 2023 |
| Certification date | June 15, 2022 |
| Mailing address | 3157 N University Dr Ste 103, Hollywood, FL 33024-2258 |
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