PHYSICIANS OF HOLLYWOOD LLC
NPI 1144856626
Clinic/Center in Hollywood, FL

Active since March 17, 2020CLIA 10D2181784 · Waiver
5201 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021(954) 716-9114 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2026, Mar 17, 2020 (2 updates tracked since 2020).

About Physicians Of Hollywood Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIANS OF HOLLYWOOD LLC (NPI 1144856626) is a healthcare organization registered as a clinic/center in Hollywood, Florida and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through April 9, 2028 and lists Manuel Gonzalez, Owner, as its authorized official.

NPPES Registry Identity

NPI1144856626
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePHYSICIANS OF HOLLYWOOD LLC
Location Address5201 HOLLYWOOD BLVDHollywood, FL 33021-6422
Mailing Address5201 Hollywood BlvdHollywood, FL 33021-6422 · (954) 228-6619
Organization SubpartNo
Authorized OfficialManuel GonzalezOwner · (954) 228-6619
Enumeration DateMarch 17, 2020
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1144856626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5201 HOLLYWOOD BLVD, Hollywood, FL 33021

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physicians Of Hollywood Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Physicians Of Hollywood LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1497740112
2295 N UNIVERSITY DR
Pembroke Pines, FL 33024
(954) 983-1969
✔ PECOS✔ Accepts Medicare3.5 mi
Internal Medicine
NPI 1790931327
501 NW 179TH AVE
Pembroke Pines, FL 33029
(954) 442-2828
✔ PECOS12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2181784

Physicians Of Hollywood, LLC · Hollywood, FL
Active · expires Apr 9, 2028
CLIA Number10D2181784
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorIleana A. Vila
Laboratory Phone(954) 228-6619
Laboratory LocationPhysicians Of Hollywood, LLC5201 Hollywood Blvd, Hollywood, FL 33021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physicians Of Hollywood LLC's NPI number?

The NPI number for Physicians Of Hollywood LLC is 1144856626. It was assigned to this organization in the NPPES registry on March 17, 2020.

Where is Physicians Of Hollywood LLC located?

Physicians Of Hollywood LLC is located at 5201 Hollywood Blvd, Hollywood, FL 33021. The listed phone number is (954) 716-9114.

What is Physicians Of Hollywood LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Physicians Of Hollywood LLC enrolled in Medicare?

Yes. Physicians Of Hollywood LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physicians Of Hollywood LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Physicians Of Hollywood LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Physicians Of Hollywood LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2181784) is associated with this NPI, valid through April 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Physicians Of Hollywood LLC accept?

Health plans from AvMed list Physicians Of Hollywood LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Physicians Of Hollywood LLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.