| NPI | 1235499179 |
|---|---|
| Former Legal Business Name | PINES CARDIOLOGY INC |
| Entity Type | Organization |
| Authorized Contact | ROY L WHITTINGHAM President 954-205-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME70512) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |