# PINES INJURY CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477848406
- **Authorized official:** DENISE L FOGAROS (ADMINISTRATOR)
- **Authorized official phone:** (954) 433-7100

## Contact information

- **Practice address:** 14818 PINES BLVD, PEMBROKE PINES, FL 33027-1222
- **Practice address phone:** (954) 433-7100
- **Practice address fax:** (954) 433-7766
- **Mailing address:** 14818 PINES BLVD, PEMBROKE PINES, FL 33027-1222
- **Mailing address phone:** (954) 433-7100
- **Mailing address fax:** (954) 433-7766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | FL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2011
- **Last updated:** 06/17/2011
