MEDICARE: DBPINES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	231092	FL

General Provider Information

NPI Number	:	1336383009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DBPINES

Provider Business Mailing Address
First Line	:	10810 NW 20TH ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-2224
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10810 NW 20TH ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-2224
Country	:	US
Telephone Number	:	954-381-0849
Fax Number	:

Authorized Official
Title or Position	:	PRES.
Name	:	DAVID BRETTLER
Credential	:
Telephone Number	:	954-381-0849

Provider Enumeration Date	:	04/26/2009
Last Update Date	:	04/26/2009

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Directions to “DBPINES ” Practice Location

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