Pembroke Health Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PEMBROKE HEALTH CLINIC LLC

Practice address

7261 Sheridan St Ste 360
Hollywood, FL 33024-2726

Phone

(954) 955-0094

NPI assigned

Nov 23, 2024

Last updated

Nov 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jefferson Ganthier, MDNPI 1245793983

Title

Co-Owner

Phone

(786) 483-4002

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jefferson Van Didier Ganthier, MD

  • Internal Medicine Physician
  • Aventura, FL
  • NPI 1245793983
  NPD Authorized official
• Manuel Egued III

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1003443748
  NPD

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1851117931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 360",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 360",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242726",
            "telephone_number": "954-955-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROKE HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A",
        "authorized_official_last_name": "GANTHIER",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "786-483-4002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peek a Boo Pediatric Care Inc.
• Shalev Peleg
• Elizabeth Peller
• Francis Charles Pellitteri
• Barbara L. Peluso, CNM
• Pembroke West Diagnostic Imaging Inc
• Arianna Pena Labrada
• Ena Pena
• Maureen Pena
• Nydia Pena

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, 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 Nov 23, 2024; 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.