Organization
PINE ISLAND MEDICAL INC
Active
Organization
PINE ISLAND MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMIL JACOMINO (PRESIDENT)
(786) 606-9387
Entity
Organization
Contact information
Practice address
7480 SW 40TH ST STE 430, MIAMI, FL 33155-6630
(786) 606-9387
Mailing address
7480 SW 40TH ST STE 430, MIAMI, FL 33155-6630
(305) 546-3849
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
01/05/2026
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