Neighbormd of Pembroke Pines LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NEIGHBORMD OF PEMBROKE PINES LLC

Practice address

9959 Pines Blvd
Pembroke Pines, FL 33024-6177

Phone

(954) 433-2524

NPI assigned

Oct 13, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Lee Clark

Title

Manager Member

Phone

(954) 770-8613

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanton Keith Collins, M.D.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1003178765
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1497353312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9959 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246177",
            "telephone_number": "954-433-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9959 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246177",
            "telephone_number": "954-433-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORMD OF PEMBROKE PINES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "954-770-8613"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Toye Neely, MS
• Yuneisy Negrin Moreno
• Charlie Negron, PHARM D
• Keisha Negron, APRN-CNP, FNP-C
• Beverley Ann Neider, ARNP, FNP-C
• Maria Teresa Neira, LMHC
• Nelson Preschel., M.D., P.a.
• Leonie Nelson
• Mariline G. Nelson, MHC
• Ronald Roy Nelson Jr., MD

• Internal Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.