Divine Healthcare Service Corp
NPI #1992217061 in Pembroke Pines, Florida
Provider Information
- NPI Number
- 1992217061
- Entity Type
- Organization
- Organization Name
- Divine Healthcare Service Corp
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 30, 2017
- Last Updated
- Oct 30, 2017
Practice Location
- Address
- 15883 NW 11TH ST
- City
- Pembroke Pines
- State
- Florida
- ZIP Code
- 33028
- Phone
- (954) 559-6045
Authorized Official
- Name
- MS. MARIE EDITH MALOKU, ARNP
- Title
- NP
- Phone
- (954) 559-6045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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