Organization
PINECREST PT-SOUTH L.L.C.
Active
Organization
PINECREST PT-SOUTH L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD YACOUB MSPT (OWNER)
(305) 722-0568
Entity
Organization
Contact information
Practice address
13101 S DIXIE HWY STE 330, MIAMI, FL 33156-6530
(305) 722-0568
(305) 670-0899
Mailing address
13101 S DIXIE HWY STE 330, MIAMI, FL 33156-6530
(305) 722-0568
(305) 670-0899
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT18067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
APPLYING FOR MCR
FL
Enumeration date
11/18/2017
Last updated
07/21/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up