Individual
JORGE L PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 NW 11TH ST STE E102, HOMESTEAD, FL 33030-4350
(305) 534-0076
Mailing address
1400 NW 107TH AVE, SWEETWATER, FL 33172-2791
(305) 534-0076
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA37315
FL
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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