Organization
FERNANDO PINO M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO PINO M.D.,P.A. (MEDICAL DOCTOR)
(305) 595-1949
Entity
Organization
Contact information
Practice address
8600 SW 92ND STREET, SUITE # 104, MIAMI, FL 33156-7377
(305) 595-1949
(305) 595-6455
Mailing address
8600 SW 92ND STREET, SUITE # 104, MIAMI, FL 33156-7377
(305) 595-1949
(305) 595-6455
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
ME52016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371123400
—
FL
Enumeration date
04/04/2011
Last updated
08/15/2012
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