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Contact Information

SOUTH HOLLYWOOD PHYSICIANS GROUP
3389 SHERIDAN STREET
SUITE 606
HOLLYWOOD, FL33021
 Phone: 954-399-8417
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Massage Therapist

225700000X
 

Nutritionist

133N00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SOUTH HOLLYWOOD PHYSICIANS GROUP · (Female)

NPI # 1205382835
Status Active
Credentials
Entity Individual
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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