# PEMBROKE PINES MRI INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DPI of Pembroke Pines
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053346643
- **Authorized official:** MR. HOWARD STEPHAN DEKKERS (CEO)
- **Authorized official phone:** (954) 566-4551

## Contact information

- **Practice address:** 10950 PINES BLVD, PEMBROKE PINES, FL 33026-5216
- **Practice address phone:** (954) 566-4551
- **Practice address fax:** (954) 566-4565
- **Mailing address:** PO BOX 5206, FT LAUDERDALE, FL 33310-5206
- **Mailing address phone:** (954) 566-4551
- **Mailing address fax:** (954) 566-4565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 05/19/2008