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NPI Code Detail

MEDICARE: PINE CHIROPRACTIC CENTER PA

MEDICARE: PINE CHIROPRACTIC CENTER PA
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
1111N00000XChiropractorCH9738FL

Other Identifiers

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

General Provider Information

NPI Number : 1255567970
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINE CHIROPRACTIC CENTER PA
Provider Business Mailing Address
First Line : 611 E ATLANTIC BLVD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33060-6343
Country : US
Telephone Number : 954-782-7006
Fax Number : 954-782-0246
Provider Business Practice Location Address
First Line : 611 E ATLANTIC BLVD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33060-6343
Country : US
Telephone Number : 954-782-7006
Fax Number : 954-782-0246
Authorized Official
Title or Position : PHYSICIAN
Name : DR. ROSS ANDREW PINE
Credential : D.C.
Telephone Number : 954-782-7006
Provider Enumeration Date : 06/09/2009
Last Update Date : 10/08/2009

Similar Medicare Providers

1144215062 — DR. DAVID J. PINE D.C.
Practice Location Address:
611 E ATLANTIC BLVD
POMPANO BEACH, FL
33060-6343
Practice Phone: 954-782-7006
Practice Fax:
1144325689 — COMFORT CARE MEDICAL EQUIPMENT, INC
Practice Location Address:
609 E ATLANTIC BLVD
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Practice Fax: 954-491-9585
1720214430 — DR. ROSS ANDREW PINE D.C.
Practice Location Address:
611 E ATLANTIC BLVD
POMPANO BEACH, FL
33060-6343
Practice Phone: 954-782-7006
Practice Fax: 954-782-0246
1851691299 — A ACCELERATED CHIROPRACTIC, INC.
Practice Location Address:
611 E ATLANTIC BLVD
POMPANO BEACH, FL
33060-6343
Practice Phone: 965-782-7006
Practice Fax: 954-782-0246
1306248745 — DAVID J PINE, DC
Practice Location Address:
611 E ATLANTIC BLVD
POMPANO BEACH, FL
33060-6343
Practice Phone: 954-782-7006
Practice Fax:
1104608728 — SYNERGY DIAGNOSTICS INC
Practice Location Address:
611 E ATLANTIC BLVD
POMPANO BEACH, FL
33060-6343
Practice Phone: 954-873-0650
Practice Fax:

Directions to “PINE CHIROPRACTIC CENTER PA ” Practice Location

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