PINERO PREVENTIVE MEDICAL CARE PA NPI 1902871825

NPI Information

PINERO PREVENTIVE MEDICAL CARE PA is a primary care clinic center in Orlando, FL. PINERO PREVENTIVE MEDICAL CARE PA NPI is 1902871825. The provider is registered as an organization entity type.

The provider's business location address is:

2766 E. COLONIAL DRIVE
ORLANDO, FL
ZIP 32803-025
Phone: (407) 426-9693
Fax: (407) 426-9694

The provider's authorized official is Dennis Wayne Dunham .
The authorized official title is Office Administrator and has the following contact phone number (407) 426-9693.

The CLIA number assigned to this NPI record is 10D1059211 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 9/26/2022.

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:

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