Sacred Heart Medical Home, PA
Sacred Heart Medical Home, PA provides Pediatrics Physician services in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
17901 NW 5th St Ste 205Pembroke Pines, FL 33029-2810
Phone: (954) 392-0333
Fax: (954) 392-0393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence ME64482 (FL) |
|---|
Record details
| NPI number | 1841493566 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yvelice Villaman-Bencosme — President · (954) 392-0333 |
| NPI enumerated | June 8, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 17901 Nw 5th St, Suite 205, Pembroke Pines, FL 33029-2810 |
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