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Contact Information

PEMBROK HEALTH AND WELLNESS CENTER, LLC
12133 PEMBROKE ROAD
PEMBROKE PINES, FL33025
 Phone: 954-499-4143
 Fax: 954-499-4146
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for PEMBROK HEALTH AND WELLNESS CENTER LLC · (Female)

NPI Number 1548560733
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2010
Last updated 10/22/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # FLOS4139
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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