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NPI Code Detail

MEDICARE: DR. ROSS ANDREW PINE D.C.

MEDICARE: DR. ROSS ANDREW PINE D.C.
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 : 1720214430
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSS ANDREW PINE D.C.
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2009
Last Update Date : 06/09/2009

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