PEMBROK HEALTH AND WELLNESS CENTER, LLC – NPI #1548560733
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PEMBROK HEALTH AND WELLNESS CENTER, LLC is a provider located in PEMBROKE PINES, FL. NPPES has assigned the NPI number 1548560733 to PEMBROK HEALTH AND WELLNESS CENTER, LLC on October 22, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEMBROK HEALTH AND WELLNESS CENTER, LLC below.

NPI Profile for
PEMBROK HEALTH AND WELLNESS CENTER, LLC

NPI Number
1548560733
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEMBROK HEALTH AND WELLNESS CENTER, LLC
Primary location
12133 PEMBROKE ROAD
PEMBROKE PINES, FL 33025
Phone: (954) 499-4143 Fax: (954) 499-4146
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK KORNHABER
MEDICAL DIRECTOR
Phone: (954) 499-4143
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
FL FLOS4139
208VP0014X
- Pain Medicine / Interventional Pain Medicine
FL FLOS4139

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.