PINES CARDIOLOGY INC NPI 1235499179

NPI Information

PINES CARDIOLOGY INC is a specialist in Pembroke Pines, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PINES CARDIOLOGY INC NPI is 1235499179. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Pines Cardiology Inc.

The provider's business location address is:

10071 PINES BLVD BLDG B
SUITE A
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 205-3494

The provider's authorized official is Roy L Whittingham .
The authorized official title is President and has the following contact phone number (954) 205-3494.

The CLIA number assigned to this NPI record is 10D2044975 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2012 and was last updated on 5/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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