Organization
FAMILY MEDICAL GROUP PEMBROKE PINES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZSANDRA RODRIGUEZ (OWNER)
(786) 399-7390
Entity
Organization
Contact information
Practice address
9050 PINES BLVD STE 335, PEMBROKE PINES, FL 33024-6442
(954) 256-5552
Mailing address
9050 PINES BLVD STE 335, PEMBROKE PINES, FL 33024-6442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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