Divine Healthcare Service Corp

LBN: Divine Healthcare Service Corp
Divine Healthcare Service Corp is an health care organization with primary practice located at 15883 Nw 11Th St , Pembroke Pines FL 33028. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Divine Healthcare Service Corp can be contacted via phone (954) 559-6045, or through Maloku, Marie Edith via phone (954) 559-6045.

Contact Information

Primary practice address
15883 Nw 11Th St Pembroke Pines FL 33028
Phone: (954) 559-6045
Fax: (954) 450-7975
Website:
Map and Directions
Authorized official contact:
Name: Maloku, Marie Edith ARNP
Phone: (954) 559-6045

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1691672 Florida

Profile Details

NPI number 1992217061
LBN Legal business name Divine Healthcare Service Corp
DBA Doing business as
Authorized official Maloku, Marie Edith ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2017
Last updated Oct 30th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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