institution
Divine Healthcare Service Corp
Family Nurse Practitioner in Pembroke Pines, Florida
NPI 1992217061

Divine Healthcare Service Corp is a Family Nurse Practitioner based in Pembroke Pines, FL and is specialized in Family. Divine Healthcare Service Corp practices in Pembroke Pines, FL. The NPI Number for Divine Healthcare Service Corp is 1992217061 and holds a License No. 1691672 (Florida).

The current practice location address for Divine Healthcare Service Corp is 15883 Nw 11Th St, Pembroke Pines, FL and can be reached out via phone at 954-559-6045 and via fax at 954-450-7975.

Location: 15883 Nw 11Th St, Pembroke Pines, FL, 33028-1602
institution
Provider Profile Details
NPI Number
1992217061
Provider Name
Divine Healthcare Service Corp
Credential
Provider Entity Type
Organization
Address
15883 Nw 11Th St, Pembroke Pines, FL, 33028-1602
Phone Number
954-559-6045
Fax Number
954-450-7975
Provider Enumeration Date
10/30/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15883 Nw 11Th St
City
State
Zip
33028
Phone Number
954-559-6045
Fax Number
954-450-7975
person
Provider Business Mailing Address Details
Address
15883 Nw 11Th St
City
State
Zip
33028
Phone Number
954-559-6045
Fax Number
954-450-7975
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1691672 (Florida)
Definition
Definition to come...
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