Pembroke Pines Medical Center

LBN: Pembroke Pines Medical Center
Pembroke Pines Medical Center is an health care organization with primary practice located at 18219 Pines Blvd , Pembroke Pines FL 33029-1417. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pembroke Pines Medical Center can be contacted via phone (954) 436-1212, or through Koby, Richard A via phone (305) 821-6600.

Contact Information

Primary practice address
18219 Pines Blvd Pembroke Pines FL 33029-1417
Fax: (954) 435-5444
Website:
Authorized official contact:
Name: Koby, Richard A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME49055 Florida

Profile Details

NPI number 1588849723
LBN Legal business name Pembroke Pines Medical Center
DBA Doing business as
Authorized official Koby, Richard A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2008
Last updated Mar 10th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588849723 NPPES
Florida Other 014686 AVMED KOBY
Florida Other 4337911 AVMED KOBY
Florida Other 265997 AVMED KOBY
Florida Other 79162 AVMED KOBY
Florida Other 170130 AVMED KOBY
Florida Other 02704 AVMED KOBY
Florida MEDICAID 044892300 AVMED KOBY
Florida Other 001729 AVMED KOBY
Florida Other 000901 AVMED KOBY
Florida MEDICAID 039823300 AVMED KOBY
Florida Other 4521008 AVMED KOBY
Florida Other 7900000 AVMED KOBY
Florida Other 79162 AVMED KOBY
Florida Other 02704 AVMED KOBY
Florida Other 6972300 AVMED KOBY

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