Organization
LINE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA C FERNANDEZ (PRESIDENT)
(954) 744-4608
Entity
Organization
Contact information
Practice address
9050 PINES BLVD STE 190, PEMBROKE PINES, FL 33024-6445
(954) 744-4608
(954) 744-4684
Mailing address
9050 PINES BLVD STE 190, PEMBROKE PINES, FL 33024-6445
(954) 744-4608
(954) 744-4684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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