Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Healthcare Service Corp

Organization Family Nurse Practitioner · NPI 1992217061

Divine Healthcare Service Corp is a Family Nurse Practitioner in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15883 NW 11th St
Pembroke Pines, FL 33028
Phone: (954) 559-6045
Fax: (954) 450-7975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1691672 (FL)

Record details

NPI number1992217061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marie Maloku — Np · (954) 559-6045
NPI enumeratedOctober 30, 2017
Last updated in NPPESOctober 30, 2017
Mailing address15883 Nw 11th St, Pembroke Pines, FL 33028-1602

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