Organization
CITY OF PEMBROKE PINES
Active
Organization
CITY OF PEMBROKE PINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PENICK (DIVISION CHIEF OF RESCUE)
(954) 499-9584
Entity
Organization
Contact information
Practice address
9500 PINES BLVD, BLDG B, PEMBROKE PINES, FL 33024-6258
(954) 499-9600
Mailing address
9500 PINES BLVD, BUILDING B, PEMBROKE PINES, FL 33024-6258
(954) 499-9581
(954) 517-8432
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085063200
—
FL
01
—
590000614
PALMETTO GBA RAILROAD MED
FL
01
—
A0444
BC/BS OF FLORIDA
FL
01
—
N7076
STAY WELL HEALTH PLAN
FL
Enumeration date
02/08/2007
Last updated
04/17/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up