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SACRED HEART MEDICAL OFFICE PA
NPI 1609199017
Clinic/Center in Pembroke Pines, FL

Active since March 12, 2010
17901 NW 5TH ST, SUITE 205, PEMBROKE PINES, FL 33029(954) 392-0333(954) 392-0393 Get Directions Write a Review

NPPES record last updated: March 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sacred Heart Medical Office Pa NPPES

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

SACRED HEART MEDICAL OFFICE PA (NPI 1609199017) is a healthcare organization registered as a clinic/center in Pembroke Pines, Florida and active in the NPI registry since March 2010. The organization lists Yvelice A Villaman-bencosme, Owner, as its authorized official.

NPPES Registry Identity

NPI1609199017
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSACRED HEART MEDICAL OFFICE PA
Location Address17901 NW 5TH ST, SUITE 205Pembroke Pines, FL 33029-2810
Mailing Address17901 Nw 5th St, Suite 205Pembroke Pines, FL 33029-2810 · (954) 392-0333 · Fax (954) 392-0393
Phone(954) 392-0333
Fax(954) 392-0393
Organization SubpartNo
Authorized OfficialYvelice A Villaman-bencosmeOwner · (954) 392-0333
Enumeration DateMarch 12, 2010
✔ NPI 1609199017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in FL · ME64482
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
17901 NW 5TH ST, Pembroke Pines, FL 33029
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Other Identifiers 1

Medicaid001454700FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ONE MEDICAL SERVICES, INC
Clinic/Center (Medical Specialty)
17901 NW 5TH ST, SUITE 101
PEMBROKE PINES, FL 33029
Broward County (954) 442-9731
PALM SPRINGS PEDIATRICS PA
Pediatrics
17901 NW 5TH ST, SUITE 103
PEMBROKE PINES, FL 33029
Broward County (954) 442-8888
DR. IFEANYI O ISAIAH MD
Internal Medicine (Nephrology)
17901 NW 5TH ST, SUITE 203
PEMBROKE PINES, FL 33029
Broward County (954) 438-8085
ALL WOMENS HEALTHCARE OF SOUTH FLORIDA INC
Advanced Practice Midwife
17901 NW 5TH ST, SUITE 202
PEMBROKE PINES, FL 33029
Broward County (954) 442-8722
MRS. DIANE NADLER SIMON LMHC
Counselor (Mental Health)
17901 NW 5TH ST, SUITE 201
PEMBROKE PINES, FL 33029
Broward County (954) 540-1638
JAO MEDICAL CENTER
Family Medicine
17901 NW 5TH ST, SUITE 21-22
PEMBROKE PINES, FL 33029
Broward County (954) 441-9919
SILVER LAKES URGENT TREATMENT AND WALK IN CENTER
Specialist
17901 NW 5TH ST, SUITE 101
PEMBROKE PINES, FL 33029
Broward County (954) 442-8380
PINES FOOT & ANKLE SURGICAL GROUP, INC.
Podiatrist (Foot & Ankle Surgery)
17901 NW 5TH ST, SUITE # 106
PEMBROKE PINES, FL 33029
Broward County (954) 704-2888

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 Sacred Heart Medical Office PA's NPI number?

The NPI number for Sacred Heart Medical Office PA is 1609199017. It was assigned to this organization in the NPPES registry on March 12, 2010.

Where is Sacred Heart Medical Office PA located?

Sacred Heart Medical Office PA is located at 17901 NW 5th St Suite 205, Pembroke Pines, FL 33029. The listed phone number is (954) 392-0333.

What is Sacred Heart Medical Office PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Sacred Heart Medical Office PA was last updated on March 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.