Healthcare Provider Details

I. General information

NPI: 1689077380
Provider Name (Legal Business Name): MRS. SHEILA ROSEMBERG HIRSHBEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2014
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10794 PINES BLVD STE 102-104
PEMBROKE PINES FL
33026-3920
US

IV. Provider business mailing address

10794 PINES BLVD STE 102-104
PEMBROKE PINES FL
33026-3920
US

V. Phone/Fax

Practice location:
  • Phone: 954-735-3535
  • Fax: 954-484-7000
Mailing address:
  • Phone: 954-735-3535
  • Fax: 954-484-7000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9366620
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberRN 9366620
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: