St Jude Professional Care Inc
NPI 1558743666 · Physical Medicine & Rehabilitation Physician · Pembroke Pines, FL
St Jude Professional Care Inc is a Physical Medicine & Rehabilitation Physician organization in Pembroke Pines, FL (NPI 1558743666).
Provider details
- NPI number
- 1558743666
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicole Nicodemo, Owner(786) 663-6394
- License
- PT25877 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-25
- Last updated
- 2016-02-18
Frequently asked questions
- What is St Jude Professional Care Inc's NPI number?
- St Jude Professional Care Inc's National Provider Identifier (NPI) is 1558743666, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Jude Professional Care Inc?
- St Jude Professional Care Inc is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is St Jude Professional Care Inc located?
- St Jude Professional Care Inc's practice location on file with NPPES is 9806 Pines Blvd, Pembroke Pines, FL 33024-6141.
- What is St Jude Professional Care Inc's phone number?
- The practice phone number listed in the NPPES registry for St Jude Professional Care Inc is (786) 663-6394.
- Who is the authorized official for St Jude Professional Care Inc?
- The authorized official listed on St Jude Professional Care Inc's NPPES record is Nicole Nicodemo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Jude Professional Care Inc's NPI active?
- Yes — St Jude Professional Care Inc's NPI (1558743666) is active in the NPPES registry as of the last update on 2016-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.