Healthcare Provider Details

I. General information

NPI: 1821992249
Provider Name (Legal Business Name): DAVIE MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10100 PINES BLVD
PEMBROKE PINES FL
33026-3900
US

IV. Provider business mailing address

10100 PINES BLVD
PEMBROKE PINES FL
33026-3900
US

V. Phone/Fax

Practice location:
  • Phone: 954-988-6500
  • Fax:
Mailing address:
  • Phone: 954-988-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRYANT STEWART
Title or Position: CFO
Credential:
Phone: 954-475-4400