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

Pembroke Pines Medical Center

Organization Family Medicine Physician · NPI 1588849723

Pembroke Pines Medical Center is a Family Medicine Physician in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

18219 Pines Blvd
Pembroke Pines, FL 33029-1417
Phone: (954) 436-1212
Fax: (954) 435-5444
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME49055 (FL)

Record details

NPI number1588849723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Koby — Vice President · (305) 821-6600
NPI enumeratedJanuary 7, 2008
Last updated in NPPESMarch 10, 2010
Mailing address18219 Pines Blvd, Pembroke Pines, FL 33029-1417

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