Pembroke Pines Medical Center, NPI 1588849723
Family Medicine Physician in Pembroke Pines, FL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1588849723
NPI Entity Type Organization
Provider Name Pembroke Pines Medical Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 18219 Pines Blvd, Pembroke Pines, FL, US
Provider Mailing Address 18219 Pines Blvd, Pembroke Pines, FL, US, 330291417
Is Sole Proprietor? No
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Organization Official

Official Name MD Richard A Koby
Official Position VICE PRESIDENT
Phone 305-821-6600

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207Q00000X

Taxonomy Name Family Medicine Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. ME49055
License State FL
Description 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.

Business Address

Pembroke Pines Medical Center
18219 Pines Blvd

Pembroke Pines, FL, US

Phone: 954-436-1212
Fax: 954-435-5444

Mailing Address

Pembroke Pines Medical Center
18219 Pines Blvd
Pembroke Pines, FL, US
ZIP 330291417
Phone: 954-436-1212
Fax: 954-435-5444

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
014686 FL AVMED KOBY 01
4337911 FL AETNA KOBY 01
265997 FL AVMED ZALIS 01
79162 FL BCBS ZALIS 01
170130 FL HUMANA 01
02704 FL MCR KOBY 01
044892300 FL MEDICAID 05
001729 FL NHP ZALIS 01
000901 FL NHP KOBY 01
039823300 FL MEDICAID 05
4521008 FL AETNA ZALIS 01
7900000 FL JMH KOBY 01
79162 FL MCR ZALIS 01
02704 FL BCBS KOBY 01
6972300 FL JMH ZALIS 01

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