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Sacred Heart Medical Office Pa
Clinic/Center in Pembroke Pines, Florida
NPI 1609199017

Sacred Heart Medical Office Pa is a Clinic/Center based in Pembroke Pines, FL. Sacred Heart Medical Office Pa practices in Pembroke Pines, FL. The NPI Number for Sacred Heart Medical Office Pa is 1609199017 and holds a License No. ME64482 (Florida).

The current practice location address for Sacred Heart Medical Office Pa is 17901 Nw 5Th St, Pembroke Pines, FL and can be reached out via phone at 954-392-0333 and via fax at 954-392-0393. You can also correspond with Sacred Heart Medical Office Pa through the mailing address at 17901 NW 5TH ST, PEMBROKE PINES, FL - 33029-2810 (mailing address contact number: 954-392-0333).

Location: 17901 Nw 5Th St, Pembroke Pines, FL, 33029-2810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609199017
Provider Name
Sacred Heart Medical Office Pa
Credential
Provider Entity Type
Organization
Address
17901 Nw 5Th St, Pembroke Pines, FL, 33029-2810
Phone Number
954-392-0333
Fax Number
954-392-0393
Provider Enumeration Date
03/12/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001454700 05 FL
institution
Provider Business Practice Location Address Details
Address
17901 Nw 5Th St
City
Pembroke Pines
State
Florida
Zip
33029-2810
Phone Number
954-392-0333
Fax Number
954-392-0393
person
Provider Business Mailing Address Details
Address
17901 Nw 5Th St
City
Pembroke Pines
State
Florida
Zip
33029-2810
Phone Number
954-392-0333
Fax Number
954-392-0393
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
ME64482 (Florida)
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).
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