Organization
PINES EEG ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORN LEITMAN (ADMINISTRATOR)
(305) 227-5176
Entity
Organization
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(352) 243-5651
Mailing address
1725 E HIGHWAY 50 STE C, CLERMONT, FL 34711-5188
(352) 243-5651
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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