Healthcare Provider Details

I. General information

NPI: 1942114046
Provider Name (Legal Business Name): CORE TECH INNOVATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14430 NW 11TH ST
PEMBROKE PINES FL
33028-2901
US

IV. Provider business mailing address

14430 NW 11TH ST
PEMBROKE PINES FL
33028-2901
US

V. Phone/Fax

Practice location:
  • Phone: 712-454-8888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMIR CHEEMA
Title or Position: OWNER
Credential:
Phone: 712-457-8555