NPIMap

Organization Active NPI

Hollywood Medical Clinic LLC

  • Urgent Care Clinic/Center
  • Hollywood, FL
National Provider Identifier
1770894453
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
L02000023475 Issued in FL
Legal business name
HOLLYWOOD MEDICAL CLINIC LLC
Practice address
750 S Federal Hwy
Hollywood, FL 33020-5424
Phone
(954) 342-8800
Fax
(954) 342-8100
NPI assigned
Jun 28, 2010
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Sandro Bacchelli, M.D.NPI 1134106487
Title
MBR
Phone
(954) 342-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X L02000023475 FL Primary

Addresses

Primary practice location

750 S Federal Hwy
Hollywood, FL 33020-5424

Mailing address

750 S Federal Hwy
Hollywood, FL 33020-5424
Phone (954) 342-8800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1770894453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S FEDERAL HWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205424",
            "telephone_number": "954-342-8800",
            "fax_number": "954-342-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S FEDERAL HWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205424",
            "telephone_number": "954-342-8800",
            "fax_number": "954-342-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "BACCHELLI",
        "authorized_official_first_name": "SANDRO",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "954-342-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "L02000023475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.