| Southwell Healthcare Inc | |
|
1806 N Flamingo Rd Ste 347 Pembroke Pines FL 33028-1040 | |
| (954) 638-9197 | |
| (800) 500-1921 |
| Full Name | Southwell Healthcare Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1806 N Flamingo Rd Ste 347, Pembroke Pines, Florida |
| Authorized Official Name and Position | Sirahaydee Pena-alcantara (OWNER) |
| Authorized Official Contact | 7179168077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwell Healthcare Inc 1806 N Flamingo Rd Ste 347 Pembroke Pines FL 33028-1040 Ph: (877) 354-5338 | Southwell Healthcare Inc 1806 N Flamingo Rd Ste 347 Pembroke Pines FL 33028-1040 Ph: (954) 638-9197 |
| NPI Number | 1891509790 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 04/08/2025 |
| Medicare PECOS PAC ID | 0244751402 |
|---|---|
| Medicare Enrollment ID | O20250305000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891509790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568427078 PECOS PAC ID: 5496647778 Enrollment ID: I20040330000320 |
| Provider Name | Sirahaydee Pena-alcantara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033654678 PECOS PAC ID: 0244640571 Enrollment ID: I20201027003509 |
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