PEMBROK HEALTH AND WELLNESS CENTER LLC NPI 1548560733

NPI Information

NPI: 1548560733
Provider Name: PEMBROK HEALTH AND WELLNESS CENTER, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
12133 PEMBROKE ROAD
PEMBROKE PINES, FL
ZIP 33025
Phone: (954) 499-4143
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PEMBROK HEALTH AND WELLNESS CENTER, LLC is a general practice in Pembroke Pines, FL. PEMBROK HEALTH AND WELLNESS CENTER, LLC NPI is 1548560733. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12133 PEMBROKE ROAD
PEMBROKE PINES, FL
ZIP 33025
Phone: (954) 499-4143
Fax: (954) 499-4146

The provider's authorized official is Mark Dean Kornhaber .
The authorized official title is Medical Director and has the following contact phone number (954) 499-4143.

The enumeration date for this NPI number is 10/22/2010 and was last updated on 10/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208VP0014X	Pain Medicine	Interventional Pain Medicine	FLOS4139	FLORIDA	No
2	208D00000X	General Practice		FLOS4139	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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