PINE CREST SCHOOL NPI 1609278704

NPI Information

  • NPI: 1609278704
  • Provider Name: PINE CREST SCHOOL
  • Classification: Health Educator - 174H00000X
  • Entity Type: Organization
  • Address: 1501 NE 62ND ST
    FT LAUDERDALE, FL
    ZIP 33334
  • Phone: (954) 776-2134

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NPI Details

PINE CREST SCHOOL is a health educator in Ft Lauderdale, FL. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. PINE CREST SCHOOL NPI is 1609278704. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1501 NE 62ND ST
FT LAUDERDALE, FL
ZIP 33334-116
Phone: (954) 776-2134
Fax: (954) 492-4562

The provider's authorized official is Jeff Johnson .
The authorized official title is Athletic Director and has the following contact phone number (954) 776-2134.

The enumeration date for this NPI number is 9/19/2014 and was last updated on 9/19/2014.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174H00000XHealth EducatorAL1707FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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