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Organization
PINES MEDICAL CENTER P A
Active
Organization
PINES MEDICAL CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO FUENTES M.D (PRESIDENT)
(954) 442-8761
Entity
Organization
Contact information
Practice address
601 N FLAMINGO RD, SUITE 405, PEMBROKE PINES, FL 33028-1015
(954) 442-8761
(954) 392-0369
Mailing address
601 N FLAMINGO RD, SUITE 405, PEMBROKE PINES, FL 33028-1015
(954) 442-8761
(954) 392-0369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
05/31/2012
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