DIVINE HEALTHCARE SERVICE CORP

PEMBROKE PINES, FL
NPI1992217061
Entity TypeOrganization
Authorized ContactMARIE EDITH MALOKU
Np
954-559-6045
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  1691672)
Enumeration Date2017-10-30
Last Update Date2017-10-30
Business Address
DIVINE HEALTHCARE SERVICE CORP
15883 NW 11TH ST
PEMBROKE PINES, FL 33028
Phone number: 954-559-6045
Mailing Address
DIVINE HEALTHCARE SERVICE CORP
15883 NW 11TH ST
PEMBROKE PINES, FL 33028-1602
Phone number: 954-559-6045