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Organization
PEMBROKE HEALTH CLINIC LLC
Active
Organization
PEMBROKE HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON GANTHIER MD (CO-OWNER)
(786) 483-4002
Entity
Organization
Contact information
Practice address
7261 SHERIDAN ST STE 360, HOLLYWOOD, FL 33024-2726
(954) 955-0094
Mailing address
7261 SHERIDAN ST STE 360, HOLLYWOOD, FL 33024-2726
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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