Southeast Health Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTHEAST HEALTH CENTER

Practice address

5100 Hollywood Blvd
Hollywood, FL 33021-6538

Phone

(954) 894-0633

NPI assigned

Aug 5, 2011

Last updated

Aug 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge Bulit, LPN

Title

President

Phone

(954) 894-0633

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1740569920",
    "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": "330216538",
            "telephone_number": "954-894-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216538",
            "telephone_number": "954-894-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "BULIT",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-894-0633",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Surgical Specialists, LLC
• South Florida Surgical Specialists, LLC
• South Florida Urgent Care Centers, LLC
• South Florida Vision Services, Inc.
• South Hollywood Physicians Group
• Southeast Health Group, Inc. (American Health Services of Broward)
• Southeast Perinatal Associates, Inc (Perinatal Center of Florida)
• Southeastern Clinical Specialties Inc (The Praxis Program)
• Jose Miguel Souto Guerra
• Helen Mary Anne Spalding

• Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.