Organization
URO-MEDIX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK A. PINES MD (PRESIDENT)
(954) 456-6500
Entity
Organization
Contact information
Practice address
2500 E HALLANDALE BEACH BLVD, PH 2, HALLANDALE BEACH, FL 33009-4834
(954) 456-6500
(954) 456-6503
Mailing address
2500 E HALLANDALE BEACH BLVD, PH 2, HALLANDALE BEACH, FL 33009-4834
(954) 456-6500
(954) 456-6503
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME48050
FL
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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