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Specialty details in registry · Pembroke Pines, FL

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At a glance

10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025-4095

NPPES record updated Jul 17, 2019. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

10700 City Center Blvd Apt 5245
Pembroke Pines, FL 33025-4095
Professional details: NPI, taxonomy & registry record
NPI1619520871
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM0801X
Enumeration date
Jul 17, 2019
Record updated
Jul 17, 2019
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM0801X · Primary

Specialty details in registry

261QM0850X

Specialty details in registry

261QM0855X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

10700 City Center Blvd Apt 5245
Pembroke Pines, FL 33025-4095
Phone
(786) 355-8680
Mailing address
10700 CITY CENTER BLVD APT 5245

PEMBROKE PINES, FL 330254095
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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