Sacred Heart Medical Office Pa

LBN: Sacred Heart Medical Office Pa
Sacred Heart Medical Office Pa is an health care organization with primary practice located at 17901 Nw 5Th St Suite 205, Pembroke Pines FL 33029-2810. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Sacred Heart Medical Office Pa can be contacted via phone (954) 392-0333, or through Villaman-Bencosme, Yvelice A via phone (954) 392-0333.

Contact Information

Primary practice address
17901 Nw 5Th St Suite 205 Pembroke Pines FL 33029-2810
Phone: (954) 392-0333
Fax: (954) 392-0393
Website:
Map and Directions
Authorized official contact:
Name: Villaman-Bencosme, Yvelice A Doctor of Medicine (MD)
Phone: (954) 392-0333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X ME64482 Florida

Profile Details

NPI number 1609199017
LBN Legal business name Sacred Heart Medical Office Pa
DBA Doing business as
Authorized official Villaman-Bencosme, Yvelice A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2010
Last updated Mar 12th, 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 1609199017 NPPES
Florida MEDICAID 001454700

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