# WILBERT B PINO PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopaedic Spine & Fracture Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477880821
- **Authorized official:** DR. SIMON ASHI M.D. (PRACTICE MANAGER)
- **Authorized official phone:** (561) 317-2877

## Contact information

- **Practice address:** 5700 LAKE WORTH RD, SUITE 103, GREENACRES, FL 33463-4727
- **Practice address phone:** (561) 296-2345
- **Practice address fax:** (561) 296-2346
- **Mailing address:** PO BOX 212487, ROYAL PALM BEACH, FL 33421-2487
- **Mailing address phone:** (561) 296-2345
- **Mailing address fax:** (561) 296-2346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | NULL | — |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |

## Other

- **Enumeration date:** 11/05/2009
- **Last updated:** 11/05/2009
