Hollywood Medical and Pain Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HOLLYWOOD MEDICAL AND PAIN CENTER LLC

Practice address

5100 Hollywood Blvd
Hollywood, FL 33021-6518

Phone

(954) 962-9525

Fax

(954) 962-9857

NPI assigned

Dec 11, 2009

Organization subpart

No

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

Authorized official

Name

Dennis Bonneau, DC

Title

President

Phone

(954) 962-9525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1649509159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216518",
            "telephone_number": "954-962-9525",
            "fax_number": "954-962-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216518",
            "telephone_number": "954-962-9525",
            "fax_number": "954-962-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD MEDICAL AND PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "BONNEAU",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-962-9525",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollywood Hills Operator, LLC
• Hollywood Hills Rehabilitation Center, LLC
• Hollywood Injury Rehabilitation Center, Inc.
• Hollywood Manor
• Hollywood Manor II
• Hollywood Medical and Rehabilitation
• Hollywood Medical Associates
• Hollywood Medical Care Inc
• Hollywood Medical Center Ekg Associates PA
• Hollywood Medical Center, Inc.

• Chiropractor in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.