| NPI | 1326895517 |
|---|---|
| Doing Business As | PINES MEDICAL CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | CARLOS LUIS PULIDO GALLUES President 954-251-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2024-09-05 |