Penstar Provider Network LLC
Penstar Provider Network LLC is a Specialist in Pembroke Pines, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1931 NW 150th Ave Ste 228Pembroke Pines, FL 33028-2880
Phone: (754) 226-6456
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1912509233 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ileana Villarreal — Mgr · (954) 281-5022 |
| NPI enumerated | November 11, 2020 |
| Last updated in NPPES | November 11, 2020 |
| Certification date | November 11, 2020 |
| Mailing address | 1931 Nw 150th Ave Ste 228, Pembroke Pines, FL 33028-2880 |
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