Corinthians Primary Care And Wellness LLC
Nurse Practitioner, Primary Care in Pembroke Pines, FL. Organization (NPI-2).
NPI number1104774264
StatusActive
Last updated in NPPESApr 19, 2026
Details
- NPI
- 1104774264
- Entity type
- Organization (NPI-2)
- Legal business name
- Corinthians Primary Care And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Mar 16, 2026
- Certification date
- Apr 19, 2026
- Last updated
- Apr 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | Yes |
Practice location
2221 N University Dr Ste BPembroke Pines, FL 33024-3603
Phone 728-205-1544 · Fax 728-666-0737
Mailing address
2221 N University Dr Ste BPembroke Pines, FL 33024-3603
Phone 728-205-1544 · Fax 728-666-0737
Authorized official
Madelyn Roque Garcia
Owner
7282051544
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