Organization
PINECREST WELLNESS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD YACOUB (OWNER)
(954) 326-0589
Entity
Organization
Contact information
Practice address
9100 N KENDALL DR FL 1, MIAMI, FL 33176-2121
(305) 929-0134
(305) 670-0899
Mailing address
PO BOX 331942, MIAMI, FL 33233-1942
(305) 929-0134
(305) 670-0899
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
06/03/2024
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