Provider Demographics
NPI:1417035890
Name:HOLLYWOOD CONSULTING INC
Entity Type:Organization
Organization Name:HOLLYWOOD CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:PENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-253-0514
Mailing Address - Street 1:1001 N FEDERAL HWY
Mailing Address - Street 2:312
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2400
Mailing Address - Country:US
Mailing Address - Phone:954-253-0514
Mailing Address - Fax:954-454-3394
Practice Address - Street 1:1001 N FEDERAL HWY
Practice Address - Street 2:312
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2400
Practice Address - Country:US
Practice Address - Phone:954-253-0514
Practice Address - Fax:954-454-3394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty