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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

NPI Number 1548560733
LBN Legal business name PEMBROK HEALTH AND WELLNESS CENTER, LLC
Authorized official MARK KORNHABER - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2010
Last updated 10/22/2010 - About 16 years ago
Identifiers
FL License # FLOS4139
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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