Sacred Heart Medical Home, PA

NPI #1841493566 in Pembroke Pines, Florida

Provider Information

NPI Number: 1841493566
Entity Type: Organization
Organization Name: Sacred Heart Medical Home, PA
Primary Specialty: Pediatrics
Enumeration Date: Jun 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 17901 NW 5TH ST
Address 2: SUITE 205
City: Pembroke Pines
State: Florida
ZIP Code: 33029-2810
Phone: (954) 392-0333

Authorized Official

Name: YVELICE ANTONIA VILLAMAN-BENCOSME
Title: PRESIDENT
Phone: (954) 392-0333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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