Registry details
Type
Individual
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
Jun 11, 2017
License(s)
ME156340 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4350 SHERIDAN ST STE 102 | Hollywood, FL 33021-3556 | 954-322-8586 |
| MAILING | 4350 SHERIDAN ST STE 102 | Hollywood, FL 33021-3556 | 954-322-8586 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.