Organization
PINES CARDIOLOGY INC
Active
Other names
Pines Cardiology Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ROY L WHITTINGHAM MD. (PRESIDENT)
(954) 205-3494
Entity
Organization
Contact information
Practice address
10071 PINES BLVD BLDG B, SUITE A, PEMBROKE PINES, FL 33024
(954) 205-3494
Mailing address
10071 PINES BLVD BLDG B, SUITE A, PEMBROKE PINES, FL 33024
(954) 205-3494
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME70512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256594300
—
FL
Enumeration date
05/25/2012
Last updated
05/25/2012
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