Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Divine Healthcare Service Corp

Organization Family Nurse Practitioner · NPI 1992217061

Divine Healthcare Service Corp provides Family Nurse Practitioner services in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15883 NW 11th St
Pembroke Pines, FL 33028
Phone: (954) 559-6045
Fax: (954) 450-7975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1691672 (FL)

Record details

NPI number1992217061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marie Maloku — Np · (954) 559-6045
NPI enumeratedOctober 30, 2017
Last updated in NPPESOctober 30, 2017
Mailing address15883 Nw 11th St, Pembroke Pines, FL 33028-1602

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