Organization · Type 2 NPI
Divine Healthcare Service Corp
Family Nurse Practitioner · Pembroke Pines, FL
NPI number
1992217061
Active
Practice location
15883 NW 11th St
Pembroke Pines, FL 33028
Fax (954) 450-7975
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1691672 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992217061
Divine Healthcare Service Corp's National Provider Identifier is 1992217061, issued on Oct 30, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Oct 30, 2017.