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DIVINE HEALTHCARE SERVICE CORP NPI 1992217061


NPI Information

NPI: 1992217061
Provider Name: DIVINE HEALTHCARE SERVICE CORP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
15883 NW 11TH ST
PEMBROKE PINES, FL
ZIP 33028
Phone: (954) 559-6045
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DIVINE HEALTHCARE SERVICE CORP is a family nurse practitioner in Pembroke Pines, FL. DIVINE HEALTHCARE SERVICE CORP NPI is 1992217061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15883 NW 11TH ST
PEMBROKE PINES, FL
ZIP 33028
Phone: (954) 559-6045
Fax: (954) 450-7975

The provider's authorized official is Marie Edith Maloku .
The authorized official title is Np and has the following contact phone number (954) 559-6045.

The enumeration date for this NPI number is 10/30/2017 and was last updated on 10/30/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily1691672FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.