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

Sacred Heart Medical Office PA

Organization Clinic/Center · NPI 1609199017

Sacred Heart Medical Office PA is a Clinic/Center in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17901 NW 5th St Ste 205
Pembroke Pines, FL 33029-2810
Phone: (954) 392-0333
Fax: (954) 392-0393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence ME64482 (FL)

Record details

NPI number1609199017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yvelice Villaman-Bencosme — Owner · (954) 392-0333
NPI enumeratedMarch 12, 2010
Last updated in NPPESMarch 12, 2010
Mailing address17901 Nw 5th St, Suite 205, Pembroke Pines, FL 33029-2810

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