ST JUDE PROFESSIONAL CARE INC – Physical Medicine & Rehabilitation Physician, NPI 1558743666

ST JUDE PROFESSIONAL CARE INC is a healthcare provider. based in Pembroke pines, Florida. specializing in Physical Medicine & Rehabilitation Physician. The organization holds a License No. PT25877 (FL). The NPI Number for ST JUDE PROFESSIONAL CARE INC is 1558743666

Main info

Organization
Name
ST JUDE PROFESSIONAL CARE INC
NPI
1558743666
Phone
(786) 663-6394
Address
9806 PINES BLVD
Authorized Official
NICOLE NICODEMO OWNER PT
Enumeration Date
25 June 2015
Last Update Date
18 February 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for ST JUDE PROFESSIONAL CARE INC

  • 9806 PINES BLVD

    PEMBROKE PINES, FL 330246141

    Phone: (786) 663-6394

    Fax: (954) 367-5246

    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.

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Medicare Enrollment & Revalidation

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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 33024)

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Reviews

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Frequently asked questions

How is ST JUDE PROFESSIONAL CARE INC identified in CMS data?
CMS-hosted NPPES data lists ST JUDE PROFESSIONAL CARE INC with NPI 1558743666.
Does the file indicate ST JUDE PROFESSIONAL CARE INC is practicing under active NPI?
Directory data currently reports ST JUDE PROFESSIONAL CARE INC as active.
What taxonomy line describes ST JUDE PROFESSIONAL CARE INC?
For research purposes, treat ST JUDE PROFESSIONAL CARE INC as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does ST JUDE PROFESSIONAL CARE INC serve?
ST JUDE PROFESSIONAL CARE INC's listing highlights Pembroke Pines, Florida; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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