Organization
SACRED HEART MEDICAL HOME, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVELICE ANTONIA VILLAMAN-BENCOSME (PRESIDENT)
(954) 392-0333
Entity
Organization
Contact information
Practice address
17901 NW 5TH ST, SUITE 205, PEMBROKE PINES, FL 33029-2810
(954) 392-0333
(954) 392-0393
Mailing address
17901 NW 5TH ST, SUITE 205, PEMBROKE PINES, FL 33029-2810
(954) 392-0333
(954) 392-0393
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME64482
FL
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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