PEMBROKE DENTAL & SPA PL (NPI# 1659936656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659936656 |
Entity Type | Organization |
Organization Name | PEMBROKE DENTAL & SPA PL |
Practice Address |
15671 Pines Blvd Pembroke Pines FL 33027-1204 |
Mailing Address |
21239 Ne 31st Ave Aventura FL 33180-3907 |
Practice Telephone | 9544194455 |
Enumeration Date | 2019-05-06 |
Last Update Date | 2019-05-06 |
Authorized Official Name | JEANETTE NOVARA (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 7864883507 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
15671 PINES BLVD |
City | PEMBROKE PINES |
State | FL |
Zip Code | 33027-1204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
Find all providers in zip 33027 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992312730 | Rocent Dental Care, Inc. | Clinic/Center | 1 Sw 129th Ave Ste 406, Pembroke Pines, FL 33027-1718 | 2020-09-25 |
1619441516 | Doral Modern Dentistry | Clinic/Center | 1601 N Flamingo Rd Ste 3, Pembroke Pines, FL 33028-1024 | 2019-01-14 |
1902382815 | Gentle Teeth of Pembroke Pines | Clinic/Center | 12251 Taft St Ste 301, Pembroke Pines, FL 33026-1956 | 2018-07-13 |
1154814143 | Boulevard Dental Associates, LLC | Clinic/Center | 10794 Pines Blvd Ste 204, Pembroke Pines, FL 33026-3920 | 2018-06-13 |
1063879641 | Liliam Hernandez Dmd Pa | Clinic/Center | 18253 Sw 5th St, Pembroke Pines, FL 33029-4310 | 2016-01-27 |
1376937185 | Dental Boost Pines, LLC | Clinic/Center | 240 S Flamingo Rd, Pembroke Pines, FL 33027-1721 | 2015-03-19 |
1841816923 | Vanessa Freitas, Dds P.a. | Clinic/Center | 17901 Nw 5th St Ste 202, Pembroke Pines, FL 33029-2810 | 2020-06-24 |
1912559949 | Precise Smiles Dentistry Inc | Clinic/Center | 1724 N University Dr, Pembroke Pines, FL 33024-3602 | 2019-07-10 |
1164668547 | My Dentist for Life, P.a. | Clinic/Center | 294 Nw 172nd Ave, Pembroke Pines, FL 33029-3196 | 2009-01-06 |
1922252386 | Endodontics Unlimited Pa | Clinic/Center | 2221 N University Dr, Suite D, Pembroke Pines, FL 33024-3603 | 2008-11-12 |
Find all providers in PEMBROKE PINES |
City | PEMBROKE PINES |
Zip Code | 33027 |
Please comment or provide details below to improve the information on PEMBROKE DENTAL & SPA PL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.