Pembroke Pavilion Psychiatric Associates, INC
Specialist in Pembroke Pines, FL. Organization (NPI-2).
NPI number1487962098
StatusActive
Last updated in NPPESSep 16, 2010
Details
- NPI
- 1487962098
- Entity type
- Organization (NPI-2)
- Legal business name
- Pembroke Pavilion Psychiatric Associates, INC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2010
- Last updated
- Sep 16, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | ME0025377 | FL | Yes |
Practice location
1000 N Hiatus RdSuite 140
Pembroke Pines, FL 33026-3097
Phone 954-431-9838 · Fax 954-433-7066
Mailing address
1000 N Hiatus RdSuite 140
Pembroke Pines, FL 33026-3097
Phone 954-431-9838 · Fax 954-433-7066
Authorized official
Abraham Flemenbaum
President
9544319838
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