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Organization
PEMBROKE PINES MEDICAL CENTER
Active
Organization
PEMBROKE PINES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A KOBY MD (VICE PRESIDENT)
(305) 821-6600
Entity
Organization
Contact information
Practice address
18219 PINES BLVD, PEMBROKE PINES, FL 33029-1417
(954) 436-1212
(954) 435-5444
Mailing address
18219 PINES BLVD, PEMBROKE PINES, FL 33029-1417
(954) 436-1212
(954) 435-5444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME49055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000901
NHP KOBY
FL
01
—
001729
NHP ZALIS
FL
01
—
014686
AVMED KOBY
FL
01
—
02704
BCBS KOBY
FL
05
—
039823300
—
FL
05
—
044892300
—
FL
01
—
170130
HUMANA
FL
01
—
265997
AVMED ZALIS
FL
01
—
4337911
AETNA KOBY
FL
01
—
4521008
AETNA ZALIS
FL
01
—
6972300
JMH ZALIS
FL
01
—
7900000
JMH KOBY
FL
01
—
79162
MCR ZALIS
FL
Enumeration date
01/07/2008
Last updated
03/10/2010
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