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David J Pine, Dc

Clinic/Center in Pompano Beach, FL. Organization (NPI-2).

NPI number1306248745
StatusActive
Last updated in NPPESSep 17, 2014

Details

NPI
1306248745
Entity type
Organization (NPI-2)
Legal business name
David J Pine, Dc
Organization subpart
No
Enumeration date
Sep 17, 2014
Last updated
Sep 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterCh0002853FLYes

Practice location

611 E Atlantic Blvd
Pompano Beach, FL 33060-6343

Phone 954-782-7006

Mailing address

611 E Atlantic Blvd
Pompano Beach, FL 33060-6343

Phone 954-782-7006

Authorized official

David J Pine
Dc
9547827006

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