NPIMap

Organization Active NPI

Hollywood Clinic Corp

  • Multi-Specialty Clinic/Center
  • Hialeah, FL
National Provider Identifier
1003312331
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
HCC11111 Issued in FL
Legal business name
HOLLYWOOD CLINIC CORP
Practice address
5941 NW 173Rd Dr Unit 7
Hialeah, FL 33015-5110
Phone
(305) 817-1424
Fax
(305) 817-1426
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Celia Gonzalez
Title
President
Phone
(786) 547-4546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X HCC11111 FL Primary

Addresses

Primary practice location

5941 NW 173Rd Dr Unit 7
Hialeah, FL 33015-5110

Mailing address

5941 NW 173Rd Dr Unit 7
Hialeah, FL 33015-5110
Phone (305) 817-1424

Other names 1

  • Sleep Disorder Diagnostic Center Doing business as

National Provider Directory

National Provider Directory

Locations

5941 NW 173rd Dr
Unit 7
Miami Gardens, FL 33015
Phone (305) 817-1424

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1003312331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 NW 173RD DR UNIT 7",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155110",
            "telephone_number": "305-817-1424",
            "fax_number": "305-817-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 NW 173RD DR UNIT 7",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155110",
            "telephone_number": "305-817-1424",
            "fax_number": "305-817-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-547-4546",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC11111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Disorder Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.