Organization
PINECREST WELLNESS-DOWNTOWN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD YACOUB PT, MSPT (MANAGING OWNER)
(305) 722-0568
Entity
Organization
Contact information
Practice address
398 NE 5TH ST FL 9, MIAMI, FL 33132-2053
(786) 495-5858
Mailing address
PO BOX 331942, MIAMI, FL 33233-1942
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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