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PEMBROK HEALTH AND WELLNESS CENTER, LLC
NPI 1548560733
General Practice in Pembroke Pines, FL

Active since October 22, 2010
12133 PEMBROKE ROAD, PEMBROKE PINES, FL 33025(954) 499-4143(954) 499-4146 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pembrok Health And Wellness Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEMBROK HEALTH AND WELLNESS CENTER, LLC (NPI 1548560733) is a healthcare organization registered as a general practice in Pembroke Pines, Florida and active in the NPI registry since October 2010. The organization lists Mark Dean Kornhaber, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1548560733
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePEMBROK HEALTH AND WELLNESS CENTER, LLC
Location Address12133 PEMBROKE ROADPembroke Pines, FL 33025
Mailing Address12133 Pembroke RoadPembroke Pines, FL 33025 · (954) 499-4143 · Fax (954) 499-4146
Phone(954) 499-4143
Fax(954) 499-4146
Organization SubpartNo
Authorized OfficialMark Dean KornhaberMedical Director · (954) 499-4143
Enumeration DateOctober 22, 2010
✔ NPI 1548560733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · FLOS4139
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License FLOS4139 (FL)
12133 PEMBROKE ROAD, Pembroke Pines, FL 33025
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pembrok Health And Wellness Center, LLC's NPI number?

The NPI number for Pembrok Health And Wellness Center, LLC is 1548560733. It was assigned to this organization in the NPPES registry on October 22, 2010.

Where is Pembrok Health And Wellness Center, LLC located?

Pembrok Health And Wellness Center, LLC is located at 12133 Pembroke Road, Pembroke Pines, FL 33025. The listed phone number is (954) 499-4143.

What is Pembrok Health And Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Pembrok Health And Wellness Center, LLC was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.