Individual
SOPHIA ISABELLE PINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11635 S DIXIE HWY, PINECREST, FL 33156-4446
(786) 250-5224
Mailing address
11635 S DIXIE HWY, PINECREST, FL 33156-4446
(786) 250-5224
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME166619
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
05/01/2024
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