Organization
DAVID J PINE, DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J PINE DC (DC)
(954) 782-7006
Entity
Organization
Contact information
Practice address
611 E ATLANTIC BLVD, POMPANO BEACH, FL 33060-6343
(954) 782-7006
Mailing address
611 E ATLANTIC BLVD, POMPANO BEACH, FL 33060-6343
(954) 782-7006
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH0002853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005L4
FLORIDA BLUE
—
Enumeration date
09/17/2014
Last updated
09/17/2014
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