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

St Jude Professional Care Inc

Organization Physical Medicine & Rehabilitation Physician · NPI 1558743666

St Jude Professional Care Inc is a Physical Medicine & Rehabilitation Physician in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9806 Pines Blvd
Pembroke Pines, FL 33024-6141
Phone: (786) 663-6394
Fax: (954) 367-5246
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PT25877 (FL)

Record details

NPI number1558743666
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Nicodemo — Owner · (786) 663-6394
NPI enumeratedJune 25, 2015
Last updated in NPPESFebruary 18, 2016
Mailing address9806 Pines Blvd, Pembroke Pines, FL 33024-6141

Other providers in Pembroke Pines