MEDICARE: JAMES E PINER

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	1223G0001X	General Practice Dentistry	DN24049	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023677135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES E PINER

Provider Business Mailing Address
First Line	:	5425 S SEMORAN BLVD STE 5A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-1777
Country	:	US
Telephone Number	:	407-545-4451
Fax Number	:	407-982-7278

Provider Business Practice Location Address
First Line	:	5425 S SEMORAN BLVD STE 5A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-1777
Country	:	US
Telephone Number	:	407-545-4451
Fax Number	:	407-982-7278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2019
Last Update Date	:	06/12/2019

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Directions to “ JAMES E PINER ” Practice Location

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