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DIVINE HEALTHCARE SERVICE CORP
NPI 1992217061
Nurse Practitioner - Family in Pembroke Pines, FL

Active since October 30, 2017
15883 NW 11TH ST, PEMBROKE PINES, FL 33028(954) 559-6045(954) 450-7975 Get Directions Write a Review

NPPES record last updated: October 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Healthcare Service Corp NPPES

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

DIVINE HEALTHCARE SERVICE CORP (NPI 1992217061) is a healthcare organization registered as a family in Pembroke Pines, Florida and active in the NPI registry since October 2017. The organization lists Marie Edith Maloku, Np, as its authorized official.

NPPES Registry Identity

NPI1992217061
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDIVINE HEALTHCARE SERVICE CORP
Location Address15883 NW 11TH STPembroke Pines, FL 33028
Mailing Address15883 Nw 11th StPembroke Pines, FL 33028-1602 · (954) 559-6045 · Fax (954) 450-7975
Phone(954) 559-6045
Fax(954) 450-7975
Organization SubpartNo
Authorized OfficialMarie Edith MalokuNp · (954) 559-6045
Enumeration DateOctober 30, 2017
✔ NPI 1992217061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 1691672
15883 NW 11TH ST, Pembroke Pines, FL 33028
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Divine Healthcare Service Corp's NPI number?

The NPI number for Divine Healthcare Service Corp is 1992217061. It was assigned to this organization in the NPPES registry on October 30, 2017.

Where is Divine Healthcare Service Corp located?

Divine Healthcare Service Corp is located at 15883 NW 11th St, Pembroke Pines, FL 33028. The listed phone number is (954) 559-6045.

What is Divine Healthcare Service Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Divine Healthcare Service Corp was last updated on October 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.