Pembroke Lakes Medical Center – Family Medicine Physician, NPI 1174518096

Pembroke Lakes Medical Center is a healthcare provider. based in Hialeah, Florida. specializing in Family Medicine Physician. The NPI Number for Pembroke Lakes Medical Center is 1174518096

Main info

Organization
Name
Pembroke Lakes Medical Center
NPI
1174518096
Phone
(305) 821-6600
Address
7150 W 20TH AVE
Authorized Official
RICHARD ALAN KOBY VICE PRESIDENT M.D.
Enumeration Date
16 September 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Pembroke Lakes Medical Center

  • 7150, West 20th Avenue, Hialeah, Miami-Dade County, Florida, 33016, United States

    SUITE 315

    HIALEAH, FL 330165529

    Phone: (305) 821-6600

    Fax: (305) 821-0773

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33016)

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Reviews

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Frequently asked questions

Can I verify Pembroke Lakes Medical Center with an NPI only?
You can start verification with NPI 1174518096 for Pembroke Lakes Medical Center, then check state licensing separately.
Does the file indicate Pembroke Lakes Medical Center is practicing under active NPI?
Directory data currently reports Pembroke Lakes Medical Center as active.
What is Pembroke Lakes Medical Center best known for clinically?
Directory data describes Pembroke Lakes Medical Center with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Pembroke Lakes Medical Center?
Pembroke Lakes Medical Center's geographic hint is Hialeah, Florida in our summary view.
Why does Pembroke Lakes Medical Center have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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