PEMBROKE PINES MEDICAL CENTER NPI 1588849723

NPI Information

NPI: 1588849723
Provider Name: PEMBROKE PINES MEDICAL CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
18219 PINES BLVD
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 436-1212
Get Directions

PEMBROKE PINES MEDICAL CENTER is a family medicine in Pembroke Pines, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PEMBROKE PINES MEDICAL CENTER NPI is 1588849723. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18219 PINES BLVD
PEMBROKE PINES, FL
ZIP 33029-417
Phone: (954) 436-1212
Fax: (954) 435-5444

The provider's authorized official is Richard A Koby .
The authorized official title is Vice President and has the following contact phone number (305) 821-6600.

The enumeration date for this NPI number is 1/7/2008 and was last updated on 3/10/2010.

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	207Q00000X	Family Medicine		ME49055	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02704	OTHER	FLORIDA	MCR KOBY
2	265997	OTHER	FLORIDA	AVMED ZALIS
3	039823300	MEDICAID	FLORIDA
4	014686	OTHER	FLORIDA	AVMED KOBY
5	D20776	MEDICARE UPIN	FLORIDA
6	044892300	MEDICAID	FLORIDA
7	6972300	OTHER	FLORIDA	JMH ZALIS
8	D58676	MEDICARE UPIN	FLORIDA
9	7900000	OTHER	FLORIDA	JMH KOBY
10	001729	OTHER	FLORIDA	NHP ZALIS
11	02704	OTHER	FLORIDA	BCBS KOBY
12	000901	OTHER	FLORIDA	NHP KOBY
13	79162	OTHER	FLORIDA	BCBS ZALIS
14	170130	OTHER	FLORIDA	HUMANA
15	4337911	OTHER	FLORIDA	AETNA KOBY
16	=========	OTHER	FLORIDA	TAX ID
17	79162	OTHER	FLORIDA	MCR ZALIS
18	4521008	OTHER	FLORIDA	AETNA ZALIS

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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