# CAREMAX MEDICAL CENTER OF PEMBROKE PINES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255878005
- **Authorized official:** CARLOS DE SOLO (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (305) 649-8100

## Contact information

- **Practice address:** 501 NW 103RD AVE, PEMBROKE PINES, FL 33026-3924
- **Practice address phone:** (305) 245-3247
- **Practice address fax:** (877) 861-0354
- **Mailing address:** 1000 NW 57TH CT STE 400, MIAMI, FL 33126-3292
- **Mailing address phone:** (305) 649-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 08/19/2024