Healthcare Provider Details

I. General information

NPI: 1629982087
Provider Name (Legal Business Name): PEOPLEONE HEALTH MEDICAL GROUP PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12600 PEMBROKE RD STE 100
MIRAMAR FL
33027-2544
US

IV. Provider business mailing address

PO BOX 123
OAKMONT PA
15139-0123
US

V. Phone/Fax

Practice location:
  • Phone: 888-330-6891
  • Fax:
Mailing address:
  • Phone: 888-330-6891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: RACHEL IMHOFF
Title or Position: DIRECTOR OF CLINICAL COMPLIANCE
Credential: RN
Phone: 888-330-6891