OrganizationActive
Provita Physician Group Corp
NPI 1992435622 · Clinic/Center · Hollywood, FL
Provita Physician Group Corp is a Clinic/Center organization in Hollywood, FL (NPI 1992435622).
Provider details
- NPI number
- 1992435622
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Provita Physician Group Corp
- Organization subpart
- Yes
- Authorized official
- Ileana Delgado, Office Manager(305) 878-9072
Practice location
3157 N University Dr Ste 103
Hollywood, FL 33024-2258
Phone: (954) 322-8985
Fax: (954) 322-8981
Approximate (ZIP-level) locationGet directions
Mailing address
3157 N University Dr Ste 103
Hollywood, FL 33024-2258
Registry dates
- Enumerated
- 2022-06-15
- Last updated
- 2023-03-07
- Certified
- 2022-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.