National Provider Identifier Database

SOUTH HOLLYWOOD PHYSICIANS GROUP
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

SOUTH HOLLYWOOD PHYSICIANS GROUP
3389 SHERIDAN STREET
SUITE 606
HOLLYWOOD, FL33021
Phone: 954-399-8417
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X
Addiction Psychiatry 2084P0802X
Group Psychotherapy 103TP2701X
Massage Therapist 225700000X
Nutritionist 133N00000X
Occupational Therapist 225X00000X

* Indicates primary specialty

NPI Profile & details for SOUTH HOLLYWOOD PHYSICIANS GROUP

NPI Number 1205382835
Legal business name
LBN
SOUTH HOLLYWOOD PHYSICIANS GROUP
Authorized official ROBERT SANCHEZ - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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